Stephen J Vandyke in Bemidji - Corneal And Contact Management
Stephen J Vandyke - NPI 1003923012
Stephen J Vandyke is a Corneal And Contact Management in Bemidji, Minnesota. Stephen J Vandyke practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Stephen J Vandyke is 1003923012. The last update date is 2011-12-16.
Stephen J Vandyke's current location address is 1611 Anne St Nw, Bemidji, Minnesota. You can contact this provider via phone number 2183332020 and fax number 2183332019. The mailing address for Stephen J Vandyke is 1611 Anne St Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen J Vandyke |
|---|---|
| Address | 1611 Anne St Nw, Bemidji, Minnesota |
| Phone Number | 2183332020 |
| Fax Number | 2183332019 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1003923012 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2011-12-16 |
Provider Mailing Address Detail
| Address | 1611 Anne St Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566015114 |
| Phone Number | 2183332020 |
| Fax Number | 2183332019 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 1839 |
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Definition: The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10723 | ND BCBS | ||
| 16323600 | MN | -- | |
| 934731 | AMERICAS PPO | ||
| HP17316 | HEALTHPARTNERS | ||
| 2219746 | MEDICA | ||
| 49B66VA | MN BCBS | ||
| 912049 | PREFERREDONE |
Post Comment/ Review Below
What is the unique identification code assigned to Stephen J Vandyke by the Centers for Medicare & Medicaid Services?
The Stephen J Vandyke has been issued the NPI (National Provider Identifier) 1003923012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen J Vandyke located?
The Stephen J Vandyke is located at 1611 Anne St Nw, Bemidji, MN 566015114.
What is Stephen J Vandyke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen J Vandyke's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date did the Stephen J Vandyke receive the assignment of its 1003923012 from the Centers for Medicare & Medicaid Services?
The Stephen J Vandyke was issued its 1003923012 by the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the details related to Stephen J Vandyke most recently updated or revised?
The information pertaining to Stephen J Vandyke, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-16.