Individual provider Active NPI

Douglas J Vermeer, OD

  • Optometrist
  • Pipestone, MN
National Provider Identifier
1851496962
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2280 Issued in MN
Practice address
105 Main St W
Pipestone, MN 56164-1651
Phone
(507) 825-5401
Fax
(507) 825-5263
NPI assigned
Sep 13, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2280 MN Primary

Addresses

Primary practice location

105 Main St W
Pipestone, MN 56164-1651

Mailing address

105 W Main St
Pipestone, MN 56164-1651
Phone (507) 825-5401

Other identifiers 1

IdentifierTypeStateIssuer
789523200MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101105000148 MN Practitioner - Optometry 7214045277 Practice locations: Pipestone, MN
O20100930071597 MN DME Supplier - Physician - Optometrist 3870611502 Practice locations: Pipestone, MN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 W Main St
Pipestone, MN 56164-1651
Phone (507) 825-5401

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology LTD Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1851496962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-825-5401",
            "fax_number": "507-825-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST W",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-825-5401",
            "fax_number": "507-825-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEER",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789523200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipestone, MN

Sources for this page

Verify at the official NPI Registry.