Michelle Larae Van Den Top, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002402 Issued in IA

Practice address

110 Gaul Dr
Ste B
Sergeant Bluff, IA 51054

Phone

(712) 943-9400

Fax

(712) 943-9403

NPI assigned

Jul 13, 2007

Last updated

Jul 13, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

• Hawkeye Clinic of Sergeant Bluff, PC

  • Optometrist
  • Sergeant Bluff, IA
  • NPI 1497948616
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1962601625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 GAUL DR",
            "address_2": "STE B",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-9400",
            "fax_number": "712-943-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GAUL DR",
            "address_2": "STE B",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "51054",
            "telephone_number": "712-943-9400",
            "fax_number": "712-943-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DEN TOP",
        "first_name": "MICHELLE",
        "middle_name": "LARAE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shine for Health
• Gregory Lee Steuk
• Amber Stoltze
• Marita A Turner, D.C.
• Benjamin Alan Uhl, O.D.
• Tana J Wagner
• Whitney Wanderscheid, LPC-MH30643
• Joanna Wenas Widjaja, DC
• Scott Thomas Wilmes, DDS
• Teddy Worku

• Optometrist in Sergeant Bluff, IA
• Providers in Sergeant Bluff, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.