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

Dr. Becky Lee McIlonie Vandeberg, OD

Individual provider Optometrist · NPI 1245430370

Dr. Becky Lee McIlonie Vandeberg, OD is an Optometry in Fargo, North Dakota. Qualified in 2007, 19 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
19
Licensed in
MN, ND
In the registry since
2007
Specialties on file
2
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

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1244 Washington Ave, Detroit Lakes, MN 56501-3906 — (218) 847-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 652 (ND)
Optometrist Taxonomy 152W00000X · Licence 3090 (MN)

Record details

NPI number1245430370
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 18, 2007
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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