DR. DAVID MICHAEL VANDER VELDT (OD) – Optometrist, NPI 1417086257

DR. DAVID MICHAEL VANDER VELDT (OD) is a healthcare provider. based in North las vegas, Nevada. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 509 (NV). The NPI Number for DR. DAVID MICHAEL VANDER VELDT (OD) is 1417086257

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID MICHAEL VANDER VELDT (OD)
NPI
1417086257
Phone
(702) 647-4798
Address
3335 W CRAIG RD SUITE #A
Enumeration Date
5 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
7023580472
Graduation Year
2004 (22 years ago)
PAC ID
1557320140
Group Practice PAC ID
9638468739
Professional Enrollment ID
I20041008000428
Address ID
NV890525044HE2749XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Provider Addresses for DR. DAVID MICHAEL VANDER VELDT (OD)

  • 3335 W CRAIG RD SUITE #A

    NORTH LAS VEGAS, NV 89032

    Phone: (702) 647-4798

    Fax: (702) 647-8277

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($125).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

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: 2004-10-08

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
I20041008000428IOptometryNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes152103$0
92014Established patient complete exam of visual system106106$0
92004New patient complete exam of visual system4343$0
92133Imaging of optic nerve4236$0
68761Closure of tear duct opening using plug4011$0
View full utilization report →

Insurance plans in this area (ZIP 89032)

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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: 9638468739View full group profile
NameSpecialtyState
O P H T H A L M O L O G YLA
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YDC
O P H T H A L M O L O G YNV
O P T O M E T R YNV
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DAVID MICHAEL VANDER VELDT (OD)'s NPI?
Yes. DR. DAVID MICHAEL VANDER VELDT (OD) is listed with NPI 1417086257 in the public NPI dataset.
Can I rely on DR. DAVID MICHAEL VANDER VELDT (OD) being an active provider?
As of the registry snapshot, DR. DAVID MICHAEL VANDER VELDT (OD) is marked active.
What healthcare role does DR. DAVID MICHAEL VANDER VELDT (OD) hold?
Scheduling teams often label DR. DAVID MICHAEL VANDER VELDT (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. DAVID MICHAEL VANDER VELDT (OD) based?
DR. DAVID MICHAEL VANDER VELDT (OD) is tied to North Las Vegas, Nevada in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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