DR. JASON VANDERPLOEG (NPI# 1558404152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558404152 |
| Entity Type | Individual |
| Full Name | DR. JASON VANDERPLOEG |
| Credential | OD |
| Practice Address |
3205 28th St Se Ste 1 Kentwood MI 49512-1695 |
| Mailing Address |
4284 Plainfield Ave Ne Grand Rapids MI 49525-1612 |
| Practice Telephone | 6169571600 |
| Practice Fax Number | 6169573925 |
| Mailing Telephone | 6169571600 |
| Mailing Fax Number | 6169573925 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004392 | MI | Eye and Vision Services Providers |
| Street Address |
3205 28TH ST SE STE 1 |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104962752 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 3205 28th St Se, Woodland Mall Ste #1, Kentwood, MI 49512-1695 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194297747 | James Coon | Optometrist | 2974 28th St Se Ste A, Kentwood, MI 49512-1664 | 2018-12-20 |
| 1588067706 | Stephen Patrick Smith | Optometrist | 4005 Woodland Creek Dr Se, Apt. 102, Kentwood, MI 49512-8313 | 2014-10-01 |
| 1568520716 | Joel E Ensminger | Optometrist | 2974 28th St Se, Ste A, Kentwood, MI 49512-1664 | 2006-12-04 |
| 1619993755 | Ronald T Mcclatchey | Optometrist | 2350 44th St Se, Kentwood, MI 49508-5016 | 2006-07-14 |
| 1144246356 | Douglas Arthur Coon | Optometrist | 3375 Breton Valley Dr Se, Kentwood, MI 49512-9064 | 2006-07-14 |
| 1780054304 | West Point Optical Group | Optometrist | 2974 28th St Se, Suite A, Kentwood, MI 49512-1664 | 2015-09-25 |
| 1457521692 | David J. Scholten, Od, PC | Optometrist | 2350 32nd St Se, Kentwood, MI 49508-7901 | 2008-03-04 |
| 1407913213 | Rx Optical Laboratories, Inc. | Optometrist | 2350 44th St Se, Kentwood, MI 49508-5016 | 2007-01-02 |
| 1154489391 | Kelly Ehle | Optometrist | 2974 28th St Se, Ste A, Kentwood, MI 49512-1664 | 2006-12-04 |
| 1164484705 | Leon James Bangma | Optometrist | 2897 Radcliff Ave Se, Kentwood, MI 49512-1793 | 2006-04-06 |
| Find all providers in KENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.