Charles Tucker Vandyck is a Omaha, Nebraska based male Optometrist with 14 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 2010. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Tucker Vandyck is 0601800375 for Optometry in Virginia. Charles Tucker Vandyck examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Charles Tucker Vandyck speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
14+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
9239 W Center Rd, Suite 103, Omaha, Nebraska, 68124-1900
Phone:
402-898-3232
Fax:
402-898-3234
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1052309135
Enrollment ID:
I20040505001608
NPI Number:
1043262496
NPI Enumeration Date:
16 May, 2006
NPI Last Update On:
23 Mar, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Tucker Vandyck are as mentioned below.
License Number
Specialization
State
Status
0601800375
Optometry
Virginia
Primary
5514T2426
Optometry
Colorado
Secondary
1388
Optometry
Louisiana
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Charles Tucker Vandyck has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lyndon Graves Enterprise Llc (5193992972)
13
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Tucker Vandyck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1476471
Medicaid
Louisiana
9237330
Medicaid
Virginia
06421052
Medicaid
Colorado
710115320
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9239 W Center Rd, Suite 103 Omaha, Nebraska
Zip:
68124-1900
Phone Number:
402-898-3232
Fax Number:
402-898-3234
Patients can reach Charles Tucker Vandyck at 9239 W Center Rd, Suite 103, Omaha, Nebraska or can call to book an appointment on 402-898-3232. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.