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

Dr. Anthony John Vande Wydeven, OD

Individual provider Optometrist · NPI 1861413304

Dr. Anthony John Vande Wydeven, OD is an Optometry in Culver City, California. Graduated from Southern California College of Optometry in 1984, 42 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2006
Specialties on file
5
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

10522 Venice Blvd
Culver City, CA 90232-3308
Phone: (310) 838-0521
Fax: (310) 839-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8132T (CA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 8132T (CA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 8132T (CA)
Sports Vision Optometrist Taxonomy 152WS0006X · Licence 8132T (CA)
Occupational Vision Optometrist Taxonomy 152WX0102X · Licence 8132T (CA)

Record details

NPI number1861413304
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESOctober 15, 2009

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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