Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alexander Van Dyck, OD

Individual provider Optometrist · NPI 1154809507

Dr. Alexander Van Dyck, OD is an Optometry in Williston, Vermont. Qualified in 2018, 8 years ago. Practices with Myeyedr Optometry of Vermont LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, Virginia and Vermont.

Years since qualifying
8
Licensed in
MD, VA, VT
In the registry since
2018
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5399 Williston Rd Ste 102
Williston, VT 05495-5321
Phone: (802) 864-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 305 Division Ave, Brooklyn, NY 11211-7307 — (718) 964-6161

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 030.0133954 (VT)
Optometrist Taxonomy 152W00000X · Licence TA2649 (MD)
Optometrist Taxonomy 152W00000X · Licence 0618002803 (VA)

Record details

NPI number1154809507
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 29, 2018
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address5399 Williston Rd Ste 102, Williston, VT 05495-5321

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Myeyedr Optometry Of Vermont Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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