DR. ELLEN BLAIR VANDENBERG OD
NPI 1336631647
Optometrist in Cleveland, OH
About Dr. Ellen Blair Vandenberg Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLEN BLAIR VANDENBERG OD (NPI 1336631647) is an individual optometrist in Cleveland, Ohio, licensed in Michigan (4901005363) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ellen Blair Vandenberg Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Ellen Vandenberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mcconnelsville, OH 43756
- Reassigned Medicare billing, Ohio enrollment
- 6 clinicians in this Medicare group
Marietta, OH 45750
- Reassigned Medicare billing, Ohio enrollment
- 6 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ellen Vandenberg's NPI number?
The NPI number for Ellen Vandenberg is 1336631647. It was assigned to this individual provider in the NPPES registry on June 1, 2018.
Where is Ellen Vandenberg located?
Ellen Vandenberg practices at 10701 East Blvd, Cleveland, OH 44106. The listed phone number is (216) 791-3800.
What is Ellen Vandenberg's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ellen Vandenberg enrolled in Medicare?
Yes. Ellen Vandenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ellen Vandenberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Vandenberg reassigns Medicare benefits to 3 organizations: Eye Care Of Mcconnelsville LLC (Mcconnelsville, OH), Eye Care Associates Of Marietta LLC (Marietta, OH) and Blue Sky Vision Eye Care, P.C (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Vandenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Vandenberg accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 11 other insurers list Ellen Vandenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ellen Vandenberg was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ellen Blair Vandenberg, OD · NPI 1336631647
Optometrist provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since June 1, 2018.
## Identity
- **NPI:** 1336631647 (Entity type: Individual)
- **Enumerated:** June 1, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005363 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 10701 EAST BLVD, Cleveland, OH 44106-1702
- **Phone:** (216) 791-3800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Eye Care Of Mcconnelsville LLC (NPI 1225115058, Mcconnelsville, OH); Eye Care Associates Of Marietta LLC (NPI 1033296868, Marietta, OH); Blue Sky Vision Eye Care, P.C (NPI 1801977202, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 2018
## Record status
- **NPPES last updated:** August 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1336631647) · Data from the CMS NPPES public registry.