Terry R. Van Der Heyden, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC001061 Issued in FL

Practice address

4060 Tamiami TRL N
Suite 4
Naples, FL 34103-3596

Phone

(239) 261-5915

NPI assigned

Aug 17, 2005

Last updated

Oct 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

University of Houston - College of Optometry, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Terry R. Vanderheyden OD

  • Eyewear Supplier
  • Naples, FL
  • NPI 1285800821
  NPD (past) Authorized official

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286755200000",
    "number": "1932191756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 TAMIAMI TRL N",
            "address_2": "SUITE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033596",
            "telephone_number": "239-261-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 TAMIAMI TRL N",
            "address_2": "SUITE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033596",
            "telephone_number": "239-261-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER HEYDEN",
        "first_name": "TERRY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC001061",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC001061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410013850",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vallo Naples PLLC
• Gina L Valo
• Valora Behavioral Health LLC
• Sydney Shea Van Alstyne
• Kim Van Beuren, DVM
• John P Van Dongen, MD
• Brent Van Gemert, MPT
• Stephanie Danielle Van Heerden, D.P.M.
• Jonathan Jason Van Heertum, D.O.
• Jodi Van Sickle

• Corneal and Contact Management Optometrist in Naples, FL
• Providers in Naples, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.