David G Vanderloop II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2991 Issued in WI

Practice address

1901 Crooks Ave Ste C
Kaukauna, WI 54130-3200

Phone

(920) 372-2555

Fax

(920) 949-4025

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clear Approach Optometry SC

  • Optometrist
  • Kaukauna, WI
  • NPI 1982088944
  Medicare reassignment NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Appleton, WI
  • NPI 1174622583
  Medicare reassignment
• Eye Care Center of New Holstein, LLC

  • Optometrist
  • New Holstein, WI
  • NPI 1346385291
  NPD (past)
• Voss Eyecare SC

  • Optometrist
  • Green Bay, WI
  • NPI 1588177539
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1851344642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GRIGNON ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541301643",
            "telephone_number": "920-205-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CROOKS AVE STE C",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303200",
            "telephone_number": "920-372-2555",
            "fax_number": "920-949-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLOOP",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38624300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasey Trunk
• Jessica Jo Van Schyndel, OTR
• Kathleen S Van Zeeland, MS,CCC-SLP
• Molly Vande Wettering
• Travis Edward Vanden Heuvel, LPN
• Morgan L Vanderloop, LPC
• Rebecca Lynn Vanderloop, PTA
• Mark Stephen Vandermause, BS PHARMACY RPH
• Meghan Rose Velasques, CCC-SLP
• James G Ver Voort, D.C.

• Optometrist in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.