DR. ALEXANDER VAN DYCK OD
NPI 1154809507
Optometrist in Williston, VT

Active since July 29, 2018PECOS EnrolledAccepts Medicare Assignment
5399 WILLISTON RD STE 102, WILLISTON, VT 05495(802) 864-5428 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 12, 2022, Oct 1, 2019, Jul 29, 2018 (3 updates tracked since 2018).

About Dr. Alexander Van Dyck Od NPPES

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

DR. ALEXANDER VAN DYCK OD (NPI 1154809507) is an individual optometrist in Williston, Vermont, licensed in Vermont (030.0133954) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154809507
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEXANDER VAN DYCKCredential: OD
Location Address5399 WILLISTON RD STE 102Williston, VT 05495-5321
Mailing Address5399 Williston Rd Ste 102Williston, VT 05495-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 29, 2018
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
NPI 1154809507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in VT · 030.0133954 Licensed in MD · TA2649 Licensed in VA · 0618002803
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.

5399 WILLISTON RD STE 102, Williston, VT 05495

Secondary Practice Location 1

Location 1305 Division AveBrooklyn, NY 11211-7307 · Phone (718) 964-6161

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander Van Dyck Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193063592
PECOS Enrollment IDI20211209000738
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services104 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
19 services19 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services14 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services11 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05495 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Optometrist
5399 WILLISTON RD STE 102
WILLISTON, VT 05495
Optometrist
5399 WILLISTON RD STE 102
WILLISTON, VT 05495
Optometrist
5399 WILLISTON RD STE 102
WILLISTON, VT 05495
Optometrist
5399 WILLISTON RD STE 102
WILLISTON, VT 05495

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 Alexander Van Dyck's NPI number?

The NPI number for Alexander Van Dyck is 1154809507. It was assigned to this individual provider in the NPPES registry on July 29, 2018.

Where is Alexander Van Dyck located?

Alexander Van Dyck practices at 5399 Williston Rd Ste 102, Williston, VT 05495. The listed phone number is (802) 864-5428.

What is Alexander Van Dyck's specialty?

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

Is Alexander Van Dyck enrolled in Medicare?

Yes. Alexander Van Dyck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Van Dyck accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Alexander Van Dyck as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander Van Dyck was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.