DR. LISA J. VREDEVOOGD M.D. - NPI 1487659868 - Ophthalmology in Holland, MI

Q: What is Lisa Vredevoogd's NPI number?

The NPI number for Lisa Vredevoogd is 1487659868. It was assigned to this individual provider in the NPPES registry on June 14, 2005. The provider is also known as Dr. Lisa J. Tanttila M.D..

Q: What is Lisa Vredevoogd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Vredevoogd was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About Dr. Lisa J. Vredevoogd M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA J. VREDEVOOGD M.D. (NPI 1487659868) is an individual ophthalmology provider in Holland, Michigan, licensed in Michigan (4301071619) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1994).

NPPES Registry Identity

NPI1487659868

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. LISA J. VREDEVOOGDCredential: M.D.

Location Address205 W 29TH ST, SUITE 50Holland, MI 49423-6973

Mailing Address205 W 29th St, Suite 50Holland, MI 49423-6973 · (616) 796-9995 · Fax (616) 796-9998

Phone(616) 796-9995

Fax(616) 796-9998

Sole ProprietorYes

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1994

Enumeration DateJune 14, 2005

Last NPPES UpdateNovember 11, 2015

✔ NPI 1487659868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MI · 4301071619

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

205 W 29TH ST, Holland, MI 49423

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Other Names 1

Former Name (1)Dr. Lisa J. Tanttila M.d.

Other Identifiers 1

Medicare UPING75703MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa J. Vredevoogd M.d. 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.

PECOS PAC ID345377941

PECOS Enrollment IDI20100429000537

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lisa Vredevoogd's NPI number?

The NPI number for Lisa Vredevoogd is 1487659868. It was assigned to this individual provider in the NPPES registry on June 14, 2005. The provider is also known as Dr. Lisa J. Tanttila M.D..

Where is Lisa Vredevoogd located?

Lisa Vredevoogd practices at 205 W 29th St Suite 50, Holland, MI 49423. The listed phone number is (616) 796-9995.

What is Lisa Vredevoogd's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lisa Vredevoogd enrolled in Medicare?

Yes. Lisa Vredevoogd 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.

What insurance does Lisa Vredevoogd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Lisa Vredevoogd 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 Lisa Vredevoogd was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.