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Active NPI 1154809507 Individual Practitioner Male Practitioner

Dr. Alexander Van Dyck , OD

Optometrist • Williston, VT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Van Dyck, OD is a certified Optometrist practicing in Williston, VT. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Van Dyck delivers high-quality medical care to the local community at 5399 WILLISTON RD STE 102.

Dr. Van Dyck is affiliated with Myeyedr Optometry Of Vermont Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5399 Williston Rd Ste 102

Williston, VT 054955321

Telephone 8028645428
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Williston, VT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -9.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Williston, VT (141 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Dyck (8 Years) 8 Yrs
Williston Specialty Average (17.0 Years) 17.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
116 104 $125.00 $87.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
38 38 $160.00 $106.92
92250 Photography of the retina
19 19 $105.00 $35.98
92133 Imaging of optic nerve
14 14 $61.07 $33.16
92083 Exam of visual field with extended testing
14 11 $96.43 $61.83
92014 Established patient complete exam of visual system
14 14 $175.00 $122.80

Medical Specialties & State Licenses

CMS Verified: 2022-08-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VT 030.0133954

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

NUCC Taxonomy Code: 152W00000X

State License MD TA2649

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

NUCC Taxonomy Code: 152W00000X

State License VA 0618002803

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.

Hospital & Practice Group Affiliations

Myeyedr Optometry Of Vermont Llc

5399 Williston Rd, Williston, VT 054955321

Phone: 8028645428

Secondary Practice Locations

305 Division Ave

Brooklyn, NY 112117307

Phone: 7189646161

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1013441666

Doctor of Optometry

NPI 1033461165

Doctor of Optometry

NPI 1104829100

Doctor of Optometry

NPI 1922077916

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 08, 2022

Registered at 5399 WILLISTON RD STE 102, WILLISTON, VT 054955321 (Tel: 8028645428)

📍
Updated Business Mailing Address August 08, 2022

Registered at 5399 WILLISTON RD STE 102, WILLISTON, VT 054955321

📍
Updated Practice Location October 01, 2019

Registered at 8138 WATSON ST, TYSONS, VA 221024416 (Tel: 8772342020)

NPI Profile Active July 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2018

Registered at 3 JAMES SQ, WILLIAMSBURG, VA 231853342 (Tel: 7577842618)

📍
Updated Business Mailing Address July 29, 2018

Registered at 3 JAMES SQ, WILLIAMSBURG, VA 231853342

👤
Provider Name / Credentials Updated July 29, 2018

Recorded as ALEXANDER VAN DYCK, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2018

Optometrist (License #TA2649 in MD)

🟢
Initial NPI Registration & Enumeration July 29, 2018

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: 1154809507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2018
Last Update: August 12, 2022
Sole Proprietor: No

Mailing Address

5399 Williston Rd Ste 102

Williston, VT 054955321

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.