CHARLES TUCKER VANDYCK (O.D.) – Optometrist, NPI 1043262496
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHARLES TUCKER VANDYCK (O.D.)
West Center Road, Millard, Omaha, Douglas County, Nebraska, 68124, United States
SUITE 103
OMAHA, NE 681241900
Phone: (402) 898-3232
Fax: (402) 898-3234
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040505001608 | I | Optometry | VA | TBD |
| I20070911000366 | I | Optometry | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 712 | 563 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 638 | 638 | $0 |
| 92004 | New patient complete exam of visual system | 372 | 372 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 88 | 86 | $0 |
| 92014 | Established patient complete exam of visual system | 34 | 34 | $0 |
Insurance plans in this area (ZIP 68124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MS | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | LA |
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