Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew John Vaneenenaam, OD

Individual provider Optometrist · NPI 1386909729

Dr. Andrew John Vaneenenaam, OD is an Optometry in Port Charlotte, Florida. Graduated from New England College of Optometry in 2012, 14 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Florida, Maryland and Michigan.

Years since qualifying
14
Trained at
New England College of Optometry
Licensed in
FL, MD, MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2241 Tamiami Trl
Port Charlotte, FL 33948-2110
Phone: (941) 629-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7171 Cypress Lake Dr, Fort Myers, FL 33907-6521 — (239) 415-3806

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC4973 (FL)
Optometrist Taxonomy 152W00000X · Licence TA2342 (MD)
Optometrist Taxonomy 152W00000X · Licence 4901004719 (MI)

Record details

NPI number1386909729
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESApril 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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