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Active NPI 1629047758 Individual Practitioner Male Practitioner

Dr. Charles R. Vandervort , OD

Optometrist • Green River, WY

Professional Overview & Biography Verified Profile Summary

Dr. Charles Vandervort, OD is a registered healthcare professional specializing in Optometrist in Green River, WY. Practice services are available at 665 UINTA DR under active NPI credentials.

Frequently performed procedures and clinical services include exam of visual field with extended testing, photography of content of eyes, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

665 Uinta Dr

Green River, WY 829355031

Telephone 3078754538
Fax 3078758997
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Green River, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Green River, WY (156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92083 Exam of visual field with extended testing
206 97 $50.00 $31.98
92285 Photography of content of eyes
178 75 $25.00 $10.45
92014 Established patient complete exam of visual system
121 121 $100.00 $99.72
92133 Imaging of optic nerve
102 49 $75.00 $17.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
90 40 $50.00 $45.78
92134 Imaging of retina
67 33 $75.10 $19.52
92250 Photography of the retina
42 21 $50.00 $21.53
92020 Examination of cornea and iris using lens device and slit lamp
30 30 $50.00 $28.01
99213 Established patient office or other outpatient visit, typically 15 minutes
21 12 $80.00 $75.62
92004 New patient complete exam of visual system
17 17 $125.00 $124.41

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WY 101T

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
114697100 (WY)
Commercial Insurance / Payer ID Blue Cross Blue Shield
001798001 (WY)
Commercial Insurance / Payer ID Railroad Medicare
410040553 (WY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2012

Registered at 665 UINTA DR, GREEN RIVER, WY 829355031 (Tel: 3078754538)

📍
Updated Business Mailing Address September 17, 2012

Registered at 665 UINTA DR, GREEN RIVER, WY 829355031 (Tel: 3078754538)

👤
Provider Name / Credentials Updated September 17, 2012

Recorded as CHARLES VANDERVORT, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Optometrist (License #101T in WY)

🟢
Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629047758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2006
Last Update: September 17, 2012
Sole Proprietor: Yes

Mailing Address

665 Uinta Dr

Green River, WY 829355031

Phone: 3078754538

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.