NPI 1154809507

Alexander van Dyck, OD

Practitioner Optometrist Williston, VT

Practice location

Address: 5399 Williston Rd STE 102, Williston, VT 05495-5321
Phone: (802) 864-5428

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 030.0133954 (VT)

Other Optometrist providers in Vermont →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA2649 (MD)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618002803 (VA)

Registry record

NPI: 1154809507
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2018
Record last updated: 12 Aug 2022

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.