Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip J Vanderlugt, OD

Individual provider Optometrist · NPI 1942204623

Dr. Philip J Vanderlugt, OD is an Optometry in Grand Rapids, Michigan. Graduated from Ferris State College - College of Optometry in 1996, 30 years ago. Practices with Blue Sky Vision Eye Care PC, a 51-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
30
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2005
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

750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone: (616) 949-2600
Fax: (616) 365-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901003840 (MI)

Record details

NPI number1942204623
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESJune 9, 2008

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 1996 (30 years in practice)
Group practice Blue Sky Vision Eye Care Pc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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