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Active NPI 1003923012 Individual Practitioner Male Practitioner

Dr. Stephen J Vandyke , OD

Optometrist • Bemidji, MN

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Vandyke, OD is a registered healthcare professional specializing in Optometrist in Bemidji, MN. Practice services are available at 1611 ANNE ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1611 Anne St Nw

Bemidji, MN 566015114

Telephone 2183332020
Fax 2183332019
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bemidji, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Bemidji, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1839

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License MN 1839

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
016323600 (MN)
Commercial Insurance / Payer ID Americas Ppo
934731
Commercial Insurance / Payer ID Nd Bcbs
10723
Commercial Insurance / Payer ID Medica
2219746
Commercial Insurance / Payer ID Mn Bcbs
49B66VA
Commercial Insurance / Payer ID Preferredone
912049
Commercial Insurance / Payer ID Healthpartners
HP17316

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1154468890

Doctor of Optometry

NPI 1184184277

Doctor of Medicine (M.D.)

NPI 1215958434

Doctor of Medicine (M.D.)

NPI 1346592680

Doctor of Optometry

NPI 1407880057

Doctor of Optometry

NPI 1447772991

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2011

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183332020)

📍
Updated Business Mailing Address December 16, 2011

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183332020)

👤
Provider Name / Credentials Updated December 16, 2011

Recorded as STEPHEN VANDYKE, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2011

Optometrist (License #1839 in MN)

🟢
Initial NPI Registration & Enumeration August 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003923012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: December 16, 2011
Sole Proprietor: No

Mailing Address

1611 Anne St Nw

Bemidji, MN 566015114

Phone: 2183332020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.