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

Dr. Ellen Blair Vandenberg, OD

Individual provider Optometrist · NPI 1336631647

Dr. Ellen Blair Vandenberg, OD is an Optometry in Cleveland, Ohio. Graduated from Ohio State University - College of Optometry in 2018, 8 years ago. Practices with Eye Care Associates of Marietta LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Trained at
Ohio State University - College of Optometry
Licensed in
MI
In the registry since
2018
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

10701 E Blvd
Cleveland, OH 44106-1702
Phone: (216) 791-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005363 (MI)

Record details

NPI number1336631647
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESAugust 20, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Eye Care Associates Of Marietta Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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