Dr. David S. Vanderlinde, O.D.
Optometrist in Alpena, MI. Individual provider (NPI-1).
NPI number1710091079
StatusActive
Last updated in NPPESMay 22, 2008
Details
- NPI
- 1710091079
- Entity type
- Individual (NPI-1)
- Name
- Dr. David S. Vanderlinde
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2006
- Last updated
- May 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901002833 | MI | Yes |
Practice location
1180 M-32 WestAlpena, MI 49707
Phone 989-354-7431 · Fax 989-354-7532
Mailing address
4470 N Lake Shore DrBlack River, MI 48721-9775
Phone 989-724-7902
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Optometrist providers in Alpena · All 945 providers in Alpena
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