Kristin Vandervoort, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2759 Issued in OK

Practice address

7171 S Yale Ave Ste 101
Tulsa, OK 74136-6367

Phone

(918) 307-0496

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Eye Institute IncGroup PAC ID 7911995337, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kvandervoort@teiok.intellechartdirect.net
• Direct secure messaging: kv@eyeinstitute.ecldirect.net

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.

• The Eye Institute Inc

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1982638516
  Medicare reassignment Care Compare group NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Broken Bow, OK
  • NPI 1174089478
  Medicare reassignment NPD
• Julie a Holmes, OD, PLLC

  dba Downtown Tulsa Eyecare

  • Optometrist
  • Tulsa, OK
  • NPI 1588993224
  NPD
• Med Southwest, PLLC

  dba MyEyeDr.

  • Optometrist
  • Tulsa, OK
  • NPI 1124798160
  NPD
• Med Southwest, PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1679440762
  NPD
• Marc a Goldberg MD PC

  dba Marc A Goldberg MD Optical

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1174836241
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1912255373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 S YALE AVE STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366367",
            "telephone_number": "918-307-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERVOORT",
        "first_name": "KRISTIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy M Vanderboegh, LPN
• Tommy Lee Vanderford
• Mandy Catrina Vanderhoof Fogle, LMSW
• Keri Dawn Vanderpool, PTA
• Robyn Faith Vanderveen, SLP
• Chelsea Vanderwall, DO
• Lindsey Brook Vandeventer, LCSW
• Jonah R.B. Vandiver, D.D.S.
• Kerri Lynn Vandiver, ARNP
• Brianna Alexis Vandoren

• Optometrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.