| Charles Tucker Vandyck, OD | |
|
9239 W Center Rd, Suite 103, Omaha, NE 68124-1900 | |
| (402) 898-3232 | |
| (402) 898-3234 |
| Full Name | Charles Tucker Vandyck |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 9239 W Center Rd, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043262496 | NPI | - | NPPES |
| 1476471 | Medicaid | LA | |
| 9237330 | Medicaid | VA | |
| 06421052 | Medicaid | CO | |
| 710115320 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0601800375 (Virginia) | Primary |
| 152W00000X | Optometrist | 5514T2426 (Colorado) | Secondary |
| 152W00000X | Optometrist | 1388 (Louisiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lyndon Graves Enterprise Llc | 5193992972 | 13 |
| Provider Name | Lyndon Graves Enterprise Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437436599 PECOS PAC ID: 5193992972 Enrollment ID: O20120119000063 |
| Mailing Address | Practice 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 |
Krystal Ann Wells, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4353 Dodge St, Omaha, NE 68131 Phone: 402-552-2020 Fax: 402-552-2367 | |
Heartland Eye Consultants Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9900 Nicholas St Ste 250, Omaha, NE 68114 Phone: 402-493-6500 Fax: 402-493-4370 | |
Jennifer Lynn Brammeier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12850 L Street, Walmart Vision Center, Omaha, NE 68137 Phone: 402-697-1852 Fax: 402-697-4834 | |
Hospital Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 N 30th St, Ste 3700, Omaha, NE 68131 Phone: 402-280-4102 | |
Dr. Matthew Luke Willis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4353 Dodge St, Omaha, NE 68131 Phone: 402-552-2020 Fax: 402-552-2367 | |
Muriel Jepsen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6304 N 99th St, Omaha, NE 68134 Phone: 402-492-9440 Fax: 402-492-9441 | |
Frank E Graf, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-2020 Fax: 402-559-5514 |