Dr. Tara Nicole Vandewyngaerde, OD
Dr. Tara Nicole Vandewyngaerde, OD is registered under Optometry in Mendota, Illinois. Graduated from Illinois College of Optometry at Chicago in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 19
- Trained at
- Illinois College of Optometry at Chicago
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- OD — Doctor of Optometry
- An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
Practice location Address checks out
700 14th AveMendota, IL 61342-1412 Not confirmed with CMS for 18 years — call before visiting
Phone: (815) 539-6291
Fax: (815) 539-3035
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence PENDING (IL) |
|---|---|
| Optometrist | Taxonomy 152W00000X · Licence 46009989 (IL) |
Record details
| NPI number | 1528264603 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OD |
| Sole proprietor | Yes |
| NPI enumerated | June 25, 2007 |
| Last updated in NPPES | January 15, 2008 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduated | 2007 (19 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Cataract surgery | 44 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 420 |
|---|---|
| Services billed | 6,238 |
| Average patient age | 76 |
Other providers in Mendota
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Tara N Van De Wyngaerde OD PC
700 14th Ave, Mendota, IL 61342-1412 · (815) 539-6291