Stephen J Vandyke
Optometrist Optomitrist - Corneal and Contact Lenses
1611 Anne St Nw
Bemidji
, Minnesota 56601-5114
Stephen J Vandyke
Optometrist Optomitrist - Corneal and Contact Lenses
1611 Anne St Nw
Bemidji
, Minnesota 56601-5114
(218) 333-2019
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Stephen J Vandyke
- 1611 Anne St Nw
- Bemidji, MN
- Zip : 56601-5114
- Fax : (218) 333-2019
- Phone : (218) 333-2020
Second Address
- Stephen J Vandyke
- 1611 Anne St Nw
- Bemidji, MN
- Zip : 56601-5114
- Fax : (218) 333-2019
- Phone : (218) 333-2020
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1839 | MN |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1839 | MN |
National Provider Identifier
| NPI | 1003923012 |
|---|---|
| Provider Name | Stephen J Vandyke |
| First Address | Bemidji, MN 56601-5114 |
| Second Address | Bemidji, MN 56601-5114 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 16/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016323600 | (05) | MN |
| 10723 | ND BCBS (01) | |
| 2219746 | MEDICA (01) | |
| 49B66VA | MN BCBS (01) | |
| 912049 | PREFERREDONE (01) | |
| 934731 | AMERICAS PPO (01) | |
| HP17316 | HEALTHPARTNERS (01) | |
| T66246 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.