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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN J VANDYKE, OD

Active

STEPHEN J VANDYKE, OD is a Optometrist healthcare provider located in BEMIDJI, Minnesota. NPI 1003923012 is currently active in the NPPES registry. Verify at CMS.

Optometrist · BEMIDJI, MN

Registration Details

NPI Number
1003923012
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2006 (19.932189507572 yrs)
Last Updated
Dec 16, 2011
Licenses
1839 (MN)
1839 (MN)

Practice Information

Address
1611 ANNE ST NW
BEMIDJI, MN, 566015114
Browse MN providers · Browse ZIP 56601
Phone
2183332020
Fax
2183332019
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in BEMIDJI, MN

Name Credential NPI
MS. JULIE RENAE PAPENFUSS O.D. 1538120530
JAMES T HESS II OD 1720017304
SARA A FREDRICKSON OD 1407880057
DR. CHARLES WILLIAM PICARD OD 1962507731
DR. MAUREEN WHELAN O.D. 1437216439
JAMES A MOLDE O.D. 1760529408
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.