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CHARLES TUCKER VANDYCK O.D. NPI 1043262496


NPI Information

NPI: 1043262496
Provider Name: CHARLES TUCKER VANDYCK, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9239 W CENTER RD
SUITE 103
OMAHA, NE
ZIP 68124
Phone: (402) 898-3232
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Charles Tucker Vandyck, O.D. is an optometrist in Omaha, NE with 14 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Charles Tucker Vandyck, O.D. NPI is 1043262496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year:2010

The provider's business location address is:

9239 W CENTER RD
SUITE 103
OMAHA, NE
ZIP 68124-900
Phone: (402) 898-3232
Fax: (402) 898-3234

The NPI 1043262496 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist5514T2426COLORADONo
2152W00000XOptometrist1388LOUISIANANo
3152W00000XOptometrist0601800375VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
106421052MEDICAIDCOLORADO
2P00176089MEDICARE PINVIRGINIA
34M996CM68MEDICARE PINLOUISIANA
4154974ZD26MEDICARE PINDISTRICT OF COLUMBIA
54B309MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
6801283MEDICARE ID-TYPE UNSPECIFIEDCOLORADO
79237330MEDICAIDVIRGINIA
84M996CM55MEDICARE PINLOUISIANA
9P00765997MEDICARE PIN
10710115320MEDICAIDKENTUCKY
11020873L96MEDICARE PINVIRGINIA
12G02638W02MEDICARE PIN
1301436022MEDICARE PINKENTUCKY
14001179W00MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAINDIVIDUAL MEDICARE NUMBE
15P00249007MEDICARE PIN
161476471MEDICAIDLOUISIANA
17P00020323MEDICARE PIN
184B308MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
198L15913MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.