Individual provider Active NPI

Rhonda K. Van Dran, O.D., P.C.

  • Optometrist
  • Silver City, NM
National Provider Identifier
1922167444
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2403 Issued in NM
Practice address
900 N Hudson St
Silver City, NM 88061-5514
Phone
(575) 388-2020
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1562 CO
Optometrist 152W00000X OP2403 NM Primary

Addresses

Primary practice location

900 N Hudson St
Silver City, NM 88061-5514

Mailing address

900 N Hudson St
Silver City, NM 88061-5514
Phone (575) 388-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20150421002013 NM Practitioner - Optometry 4183863210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 N Hudson St
Silver City, NM 88061-5514
Phone (575) 388-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1562COMDOptometrist
OP2403NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Rhonda K. Van Dran , O.D.,P.C. Optometrist CurrentSince Mar 12, 2015 Accepting new patients

Locations

900 N Hudson St
Silver City, NM 88061
Phone (505) 327-2228

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1922167444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N HUDSON ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615514",
            "telephone_number": "575-388-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HUDSON ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615514",
            "telephone_number": "575-388-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DRAN",
        "first_name": "RHONDA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1562",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.