NPI 1043262496

Charles Tucker Vandyck, OD

Practitioner Optometrist Omaha, NE

Practice location

Address: 9239 W Center Rd Suite 103, Omaha, NE 68124-1900
Phone: (402) 898-3232
Fax: (402) 898-3234

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0601800375 (VA)

Other Optometrist providers in Nebraska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5514T2426 (CO)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1388 (LA)

Registry record

NPI: 1043262496
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2006
Record last updated: 23 Mar 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.