IndividualActive
Alyssa Vanwerden, OD
NPI 1083340947 · Optometrist · Bloomington, IN
Provider details
- NPI number
- 1083340947
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 18004339A (IN)
Practice location
1105 S College Mall Rd
Bloomington, IN 47401-6177
Phone: (812) 333-2020
Fax: (812) 334-2020
Mailing address
8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
Registry dates
- Enumerated
- 2022-07-25
- Last updated
- 2022-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.