NPI 1003923012

Stephen J Vandyke, OD

Practitioner Optometrist Bemidji, MN

Practice location

Address: 1611 Anne St NW, Bemidji, MN 56601-5114
Phone: (218) 333-2020
Fax: (218) 333-2019

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1839 (MN)

Other Optometrist providers in Minnesota →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 1839 (MN)

Registry record

NPI: 1003923012
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2006
Record last updated: 16 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.