Dr. Anthony John Vande Wydeven is a Culver City, California based male Optometrist with 41 years of experience in Optometry. He completed his graduation from Southern California College Of Optometry in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Anthony John Vande Wydeven is 8132T for Optometry in California. Dr. Anthony John Vande Wydeven examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Anthony John Vande Wydeven speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
41+ years
Medical School Attended:
Southern California College Of Optometry
Graduation Year:
1984
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
10522 Venice Blvd, Culver City, California, 90232-3308
Phone:
310-838-0521
Fax:
310-839-6201
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2264578871
Enrollment ID:
I20091013000607
NPI Number:
1861413304
NPI Enumeration Date:
21 Jul, 2006
NPI Last Update On:
15 Oct, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony John Vande Wydeven are as mentioned below.
License Number
Specialization
State
Status
8132T
Optometry
California
Primary
8132T
Optometry - Corneal and Contact Management
California
Secondary
8132T
Optometry - Pediatrics
California
Secondary
8132T
Optometry - Sports Vision
California
Secondary
8132T
Optometry - Occupational Vision
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anthony John Vande Wydeven such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
SD0081320
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10522 Venice Blvd, Culver City, California
Zip:
90232-3308
Phone Number:
310-838-0521
Fax Number:
310-839-6201
Patients can reach Dr. Anthony John Vande Wydeven at 10522 Venice Blvd, Culver City, California or can call to book an appointment on 310-838-0521. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.