STEPHEN J VANDYKE OD
NPI 1003923012
Optometrist in Bemidji, MN

Q: What is Stephen Vandyke's NPI number?

The NPI number for Stephen Vandyke is 1003923012. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Stephen Vandyke's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Vandyke was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 24, 2006

1611 ANNE ST NW, BEMIDJI, MN 56601(218) 333-2020(218) 333-2019 Get Directions Write a Review

NPPES record last updated: December 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stephen J Vandyke Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN J VANDYKE OD (NPI 1003923012) is an individual optometrist in Bemidji, Minnesota, licensed in Minnesota (1839) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1003923012

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSTEPHEN J VANDYKECredential: OD

Location Address1611 ANNE ST NWBemidji, MN 56601-5114

Mailing Address1611 Anne St NwBemidji, MN 56601-5114 · (218) 333-2020 · Fax (218) 333-2019

Phone(218) 333-2020

Fax(218) 333-2019

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateDecember 16, 2011

✔ NPI 1003923012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MN · 1839

Definition

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1839 (MN)

1611 ANNE ST NW, Bemidji, MN 56601

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Other Identifiers 9

Other49B66VAMn Bcbs

Other10723Nd Bcbs

Medicare UPINT66246

Other934731Americas Ppo

Other2219746Medica

Medicaid016323600MN

Other912049Preferredone

OtherHP17316Healthpartners

Medicare ID-Type Unspecified410000911MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL OLSON MD

Family Medicine

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5000

WILLIAM G DICKS MD

Family Medicine

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5111

SANFORD CLINIC NORTH

Family Medicine

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-2020

GERMAINE E CHESLOCK O.D.

Optometrist

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-2020

SANFORD HEALTH OF NORTHERN MINNESOTA

Ophthalmology

1611 ANNE ST NW, STE 7
BEMIDJI, MN 56601

Beltrami County (218) 333-2020

EDGAR LEE ESPE DPM

Podiatrist

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-4915

SHELBY MARIE POTKIN MD

Ophthalmology

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-2020

SERENA JO MADDEN MSN, APRN, FNP-C

Nurse Practitioner (Family)

1611 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Vandyke's NPI number?

The NPI number for Stephen Vandyke is 1003923012. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Stephen Vandyke located?

Stephen Vandyke practices at 1611 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-2020.

What is Stephen Vandyke's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Stephen Vandyke was last updated on December 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.