Roger S Van Dyke, MD is a 
Ophthalmology physician based in Lew London, Connecticut. Roger S Van Dyke is licensed to practice in Connecticut (license number 002816) and his current practice location is 4 Shaws Cove, Coastal Eye Center Ste 105, Lew London, Connecticut. He can be reached at his office (for appointments etc.) via phone at 
(860) 447-8664.
NPI number for Roger S Van Dyke is 1831116599 and his current mailing address is 4 Shaws Cove, Ste 105, Lew London, Connecticut. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831116599.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Roger S Van Dyke | 
|---|
| Gender | Male | 
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| Speciality | Ophthalmology | 
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| Location | 4 Shaws Cove, Lew London, Connecticut | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1831116599
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Roger S Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1831116599 | NPI | - | NPPES | 
| 010022816CT01 | Other | CT | ANTHEM | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 207W00000X | Ophthalmology | 002816 (Connecticut) | Primary | 
		
		
			
			
			
			
		
		
		 
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. Roger S Van Dyke is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Roger S Van Dyke, MD 4 Shaws Cove, Ste 105,
 Lew London, CT 06320-4956
 Ph: (860) 447-8664
 | Roger S Van Dyke, MD 4 Shaws Cove, Coastal Eye Center Ste 105,
 Lew London, CT 06320-4956
 Ph: (860) 447-8664
 | 
		
		 
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