Active NPI
Valerie M. Vanden Boom, O.D.
- Optometrist
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2395
- Practice address
- 7428 Mineral Point Rd
Madison, WI 53717-1710 - Phone
- (608) 833-3937
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2395 | WI | Primary |
Addresses
Primary practice location
7428 Mineral Point Rd
Madison, WI 53717-1710
Mailing address
7478 Meadowrue Cir
Middleton, WI 53562-4189
Phone (608) 836-7285
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7428 Mineral Point Rd
Madison, WI 53717-1710
Phone (608) 833-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2395 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Contact LLC | Optometrist | Current | Accepting new patients |
Locations
4228 E Towne Blvd
Madison, WI 53704
Phone (608) 241-3737
7428 Mineral Point Rd
Madison, WI 53717
Phone (608) 833-3937
846 E Washington Ave
#101
Madison, WI 53703
Phone (608) 241-3737
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": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952446924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7478 MEADOWRUE CIR",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535624189",
"telephone_number": "608-836-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7428 MINERAL POINT RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537171710",
"telephone_number": "608-833-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEN BOOM",
"first_name": "VALERIE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.