Charles Tucker Vandyck, OD - Medicare Optometrist in Omaha, NE

Charles Tucker Vandyck, OD is a medicare enrolled "Optometrist" provider in Omaha, Nebraska. He went to Pennsylvania College Of Optometry and graduated in 2010 and has 14 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Lyndon Graves Enterprise Llc and his current practice location is 9239 W Center Rd, Suite 103, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 898-3232.

Charles Tucker Vandyck is licensed to practice in Virginia (license number 0601800375) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043262496.

Contact Information

Charles Tucker Vandyck, OD
9239 W Center Rd, Suite 103,
Omaha, NE 68124-1900
(402) 898-3232
(402) 898-3234

Map and Direction




Healthcare Provider's Profile

Full NameCharles Tucker Vandyck
GenderMale
SpecialityOptometry
Experience14 Years
Location9239 W Center Rd, Omaha, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Tucker Vandyck attended and graduated from Pennsylvania College Of Optometry in 2010
  NPI Data:
  • NPI Number: 1043262496
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 03/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1052309135
  • Enrollment ID: I20040505001608

Medical Identifiers

Medical identifiers for Charles Tucker Vandyck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043262496NPI-NPPES
1476471MedicaidLA
9237330MedicaidVA
06421052MedicaidCO
710115320MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0601800375 (Virginia)Primary
152W00000XOptometrist 5514T2426 (Colorado)Secondary
152W00000XOptometrist 1388 (Louisiana)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lyndon Graves Enterprise Llc519399297212

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Tucker Vandyck allows following entities to bill medicare on his behalf.
Provider NameLyndon Graves Enterprise Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437436599
PECOS PAC ID: 5193992972
Enrollment ID: O20120119000063

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Tucker Vandyck is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Tucker Vandyck, OD
9239 W Center Rd, Suite 103,
Omaha, NE 68124-1900

Ph: (402) 898-3232
Charles Tucker Vandyck, OD
9239 W Center Rd, Suite 103,
Omaha, NE 68124-1900

Ph: (402) 898-3232

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.