Active NPI
Kenneth R Van Amerongen OD,PC
- Eyewear Supplier
- Loveland, CO
National Provider Identifier
1992955611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 1449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057385 | CO | DME Supplier - Physician - Optometrist | 1254541139 | Practice locations: Loveland, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vans Eyecare | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Loveland, CO
- NPI 1477679231
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.