Individual
DONALD J VANDERFELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02337
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109091
BLUE CROSS BLUE SHIELD
MO
01
—
123785
HEALTHLINK
MO
01
—
22-00862
UNITED HEALTHCARE
MO
05
—
310208921
—
MO
01
—
T42545
MERCY HEALTH
MO
Enumeration date
08/12/2006
Last updated
02/20/2008
Update your record
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