Individual provider Active NPI

William D Vandecar IV, M.D.

  • Ophthalmology Physician
  • Lake Oswergo, OR
National Provider Identifier
1821475427
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD228671 Issued in OR
Practice address
9 Monroe Parkway
Suite 160
Lake Oswergo, OR 97035
Phone
(503) 636-2551
Fax
(503) 636-3055
NPI assigned
May 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD61417092 WA
Student in an Organized Health Care Education/Training Program 390200000X 8219851 WI
Ophthalmology Physician 207W00000X MD228671 OR Primary

Addresses

Primary practice location

9 Monroe Parkway
Suite 160
Lake Oswergo, OR 97035

Mailing address

PO Box 22009
Portland, OR 97269
Phone (503) 558-7372

Other practice location 1

18345 SW Alexander St
Suite A
Aloha, OR 97003
Phone (503) 642-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230807001037 WA Practitioner - Ophthalmology 9032535455 Reassigns benefits to 1 organization
I20260220003304 OR Practitioner - Ophthalmology 9032535455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vancouver Eye Care PSGroup PAC ID 5799673364, 10 clinicians
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

3200 Main St
Vancouver, WA 98663-2753
Phone 36069646911116

9 Monroe Pkwy
Suite 160
Lake Oswego, OR 97035-8863
Phone (503) 636-2551

Merit-based Incentive Payment System (MIPS)

Final score
90.47 of 100Reported as group
Quality
100
Promoting interoperability
89
Improvement activities
40
Cost
77.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD228671ORMDOphthalmology Physician
8219851WIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Eye Care, P.S. CurrentSince May 23, 2023 Accepting new patients
Vancouver Eye Care PS CurrentSince May 23, 2023 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Jan 26, 2026 Accepting new patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Jan 26, 2026 Accepting new patients
Vancouver Eye Care PS Ophthalmology CurrentSince Aug 15, 2023 Accepting new patients

Locations

18345 SW Alexander St
Ste A
Beaverton, OR 97003
Phone (503) 642-2505

9 Monroe Pkwy
Ste 160
Lake Oswego, OR 97035
Phone (503) 636-2551

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

2415 NE 134th St
Ste 101
Vancouver, WA 98686
Phone (360) 823-2000

17720 SE Mill Plain Blvd
Vancouver, WA 98683
Phone (360) 823-2020

3200 Main St
Vancouver, WA 98663
Phone (360) 696-4691

17720 SE Mill Plain Blvd
Ste 100
Vancouver, WA 98683
Phone (360) 823-2018

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: williamd.vandecarivmd.p1@direct.vecmaxwellit.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1821475427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22009",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97269",
            "telephone_number": "503-558-7372",
            "fax_number": "503-344-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MONROE PARKWAY",
            "address_2": "SUITE 160",
            "city": "LAKE OSWERGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-636-2551",
            "fax_number": "503-636-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18345 SW Alexander St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Aloha",
            "state": "OR",
            "postal_code": "97003",
            "country_code": "US",
            "telephone_number": "503-642-2505",
            "fax_number": "503-649-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDECAR",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61417092",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": "8219851",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD228671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.