DR. LAUREN ISABELLA VANDERREYDEN OD
NPI 1720973829
Optometrist in Goshen, IN

Q: What is Lauren Vanderreyden's NPI number?

The NPI number for Lauren Vanderreyden is 1720973829. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Q: What is Lauren Vanderreyden's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 10, 2025PECOS EnrolledAccepts Medicare Assignment

1747 STAFFORD CT, GOSHEN, IN 46526(574) 533-0100(574) 534-8088 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Jul 1, 2025, Jun 10, 2025 (3 updates tracked since 2025).

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About Dr. Lauren Isabella Vanderreyden Od NPPES

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

DR. LAUREN ISABELLA VANDERREYDEN OD (NPI 1720973829) is an individual optometrist in Goshen, Indiana, licensed in Indiana (18004579A) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2025).

NPPES Registry Identity

NPI1720973829

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. LAUREN ISABELLA VANDERREYDENCredential: OD

Location Address1747 STAFFORD CTGoshen, IN 46526-6542

Mailing Address814 William DrGoshen, IN 46526-1278 · (574) 312-0418 · Fax (574) 534-8088

Phone(574) 533-0100

Fax(574) 534-8088

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2025

Enumeration DateJune 10, 2025

Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1720973829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IN · 18004579A

Definition

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.

1747 STAFFORD CT, Goshen, IN 46526

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Secondary Practice Locations 4

Location 1320 Meadow LnPlymouth, IN 46563-9394 · Phone (574) 935-4480 · Fax (574) 941-2040

Location 22216 Cassopolis StElkhart, IN 46514-5133 · Phone (574) 261-2111 · Fax (574) 266-0555

Location 3230 E Day Rd Ste 100Mishawaka, IN 46545-3408 · Phone (574) 271-3939 · Fax (574) 271-3941

Location 4319 N Niles Ave Ste 100South Bend, IN 46617-2328 · Phone (574) 282-2020 · Fax (574) 288-2020

Other Identifiers 1

Medicaid300115631IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Lauren Isabella Vanderreyden 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.

PECOS PAC ID1052823804

PECOS Enrollment IDI20250626000342

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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Vanderreyden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michiana Eye Center LLC

Same address

Ophthalmology

1747 STAFFORD CT
Goshen, IN 46526

Reassigned Medicare billing, Indiana enrollment
15 clinicians in this Medicare group

NPI 1659670685 (574) 533-0100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIANA EYE CENTER LLC

Ophthalmology

1747 STAFFORD CT
GOSHEN, IN 46526

Elkhart County (574) 533-0100

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 Lauren Vanderreyden's NPI number?

The NPI number for Lauren Vanderreyden is 1720973829. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Lauren Vanderreyden located?

Lauren Vanderreyden practices at 1747 Stafford Ct, Goshen, IN 46526. The listed phone number is (574) 533-0100.

What is Lauren Vanderreyden's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lauren Vanderreyden enrolled in Medicare?

Yes. Lauren Vanderreyden 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 organization bills Medicare for Lauren Vanderreyden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Vanderreyden reassigns Medicare benefits to Michiana Eye Center LLC (Goshen, IN). The 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 Lauren Vanderreyden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Vanderreyden 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 2 other insurers list Lauren Vanderreyden 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 Lauren Vanderreyden was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.