Tara N Van De Wyngaerde OD PC
Tara N Van De Wyngaerde OD PC is an Optometrist in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
700 14th AveMendota, IL 61342-1412
Phone: (815) 539-6291
Fax: (815) 539-3035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 046009989 (IL) |
|---|
Record details
| NPI number | 1215128806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tara Vandewyngaerde — Owner/Optometrist · (815) 539-6291 |
| NPI enumerated | August 7, 2007 |
| Last updated in NPPES | November 21, 2025 |
| Certification date | November 21, 2025 |
| Mailing address | 700 14th Ave, Mendota, IL 61342-1412 |
Other providers in Mendota
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Dr. Tara Nicole Vandewyngaerde, OD
700 14th Ave, Mendota, IL 61342-1412 · (815) 539-6291