Individual
DR. ALEXANDER VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5399 WILLISTON RD STE 102, WILLISTON, VT 05495-5321
(802) 864-5428
Mailing address
5399 WILLISTON RD STE 102, WILLISTON, VT 05495-5321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0133954
VT
152W00000X
Optometrist
0618002803
VA
152W00000X
Optometrist
TA2649
MD
Other
Enumeration date
07/29/2018
Last updated
08/12/2022
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