COLE EDWARD VANDERFELTZ (OD) – Optometrist, NPI 1740061621

COLE EDWARD VANDERFELTZ (OD) is a healthcare provider. based in Columbia, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2024018653 (MO). The NPI Number for COLE EDWARD VANDERFELTZ (OD) is 1740061621

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
COLE EDWARD VANDERFELTZ (OD)
NPI
1740061621
Phone
(573) 874-2030
Address
500 N KEENE ST STE 103
Enumeration Date
9 October 2023
Last Update Date
29 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738742030
Graduation Year
2024 (2 years ago)
PAC ID
7315480233
Group Practice PAC ID
2769574714
Professional Enrollment ID
I20240620001723
Address ID
MO652018104CO500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for COLE EDWARD VANDERFELTZ (OD)

  • 500 N KEENE ST STE 103

    COLUMBIA, MO 652018104

    Phone: (573) 874-2030

    Fax: (573) 449-0253

    Type: Mailing

  • 202 E NORTH ST

    CALIFORNIA, MO 650181583

    Phone: (573) 874-2030

    Fax: (573) 449-0253

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($18).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240620001723IOptometryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769574714View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
O P H T H A L M O L O G YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
-MO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Is COLE EDWARD VANDERFELTZ (OD) listed with a National Provider Identifier?
Yes — COLE EDWARD VANDERFELTZ (OD) has NPI 1740061621 on file in the registry.
Would COLE EDWARD VANDERFELTZ (OD) appear as active to a payer?
You can treat COLE EDWARD VANDERFELTZ (OD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to COLE EDWARD VANDERFELTZ (OD)?
COLE EDWARD VANDERFELTZ (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with COLE EDWARD VANDERFELTZ (OD)?
Directory geography for COLE EDWARD VANDERFELTZ (OD) centers on Columbia, Missouri.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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