Brian J Vanderploeg, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1672DT Issued in KY

Legal business name

BRIAN J VANDERPLOEG, OD, PLLC

Practice address

4801 Outer Loop
D-648
Louisville, KY 40219-3201

Phone

(502) 968-6860

Fax

(502) 969-5293

NPI assigned

Jun 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Vanderploeg, O.D.

Title

President

Phone

(502) 968-6860

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790988558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 OUTER LOOP",
            "address_2": "D-648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193201",
            "telephone_number": "502-968-6860",
            "fax_number": "502-969-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 OUTER LOOP",
            "address_2": "D-648",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193201",
            "telephone_number": "502-968-6860",
            "fax_number": "502-969-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J VANDERPLOEG, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERPLOEG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-968-6860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1672DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Brey, MD
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• Brian S Yost, PLLC (Kentucky Family Chiropractic East Louisville)
• Brian T Przystawski, DPM, PCS
• Ann M Brian, PH.D.
• Austin Brian, OD

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.