Tara N Van De Wyngaerde OD PC
NPI 1215128806 · Optometrist · Mendota, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara N Van De Wyngaerde OD PC is a Optometrist organization in Mendota, IL (NPI 1215128806).
Provider details
- NPI number
- 1215128806
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tara Vandewyngaerde, Owner/Optometrist(815) 539-6291
- License
- 046009989 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Tara N Van De Wyngaerde OD PC's NPI number?
- Tara N Van De Wyngaerde OD PC's National Provider Identifier (NPI) is 1215128806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tara N Van De Wyngaerde OD PC?
- Tara N Van De Wyngaerde OD PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tara N Van De Wyngaerde OD PC located?
- Tara N Van De Wyngaerde OD PC's practice location on file with NPPES is 700 14th Ave, Mendota, IL 61342-1412.
- What is Tara N Van De Wyngaerde OD PC's phone number?
- The practice phone number listed in the NPPES registry for Tara N Van De Wyngaerde OD PC is (815) 539-6291.
- Does Tara N Van De Wyngaerde OD PC accept Medicare?
- Tara N Van De Wyngaerde OD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tara N Van De Wyngaerde OD PC?
- The authorized official listed on Tara N Van De Wyngaerde OD PC's NPPES record is Tara Vandewyngaerde, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tara N Van De Wyngaerde OD PC's NPI active?
- Yes — Tara N Van De Wyngaerde OD PC's NPI (1215128806) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.