Organization Active NPI

Kenneth R Van Amerongen OD,PC

  • Eyewear Supplier
  • Loveland, CO
National Provider Identifier
1992955611
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1449 Issued in CO
Legal business name
KENNETH R VAN AMERONGEN OD,PC
Doing business as
van's eyecare
Practice address
1209 W Eisenhower Blvd
Loveland, CO 80537-3128
Phone
(970) 667-3445
Fax
(970) 667-8426
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Kenneth R Van Amerongen OD,PC, O.D.
Title
President/Owner
Phone
(970) 667-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1449 CO Primary

Addresses

Primary practice location

1209 W Eisenhower Blvd
Loveland, CO 80537-3128

Mailing address

1209 W Eisenhower Blvd
Loveland, CO 80537-3128
Phone (970) 667-3445

Other names 1

  • van's eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057385 CO DME Supplier - Physician - Optometrist 1254541139 Practice locations: Loveland, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vans Eyecare1209 W Eisenhower Blvd, Loveland, CO 80537-3128(970) 667-3445 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Aug 31, 2004

National Provider Directory

National Provider Directory

Locations

1209 W Eisenhower Blvd
Loveland, CO 80537
Phone (303) 667-3445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1992955611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373128",
            "telephone_number": "970-667-3445",
            "fax_number": "970-667-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W EISENHOWER BLVD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373128",
            "telephone_number": "970-667-3445",
            "fax_number": "970-667-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R VAN AMERONGEN OD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "VAN AMERONGEN OD,PC",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "970-667-3445",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CO",
            "license": "1449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "van's eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.