DR. CHARLES ROBERT CYR (O.D.) – Optometrist, NPI 1104829100

DR. CHARLES ROBERT CYR (O.D.) is a healthcare provider. based in Underhill, Vermont. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 228 (VT). The NPI Number for DR. CHARLES ROBERT CYR (O.D.) is 1104829100

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES ROBERT CYR (O.D.)
NPI
1104829100
Phone
(802) 899-2105
Address
380 POKER HILL RD
Enumeration Date
23 May 2005
Last Update Date
23 February 2016

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
8028645428
Graduation Year
1986 (40 years ago)
PAC ID
9234116567
Group Practice PAC ID
4486912607
Professional Enrollment ID
I20040702001113
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:21State licenses:2Digital endpointsOther names

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Provider Addresses for DR. CHARLES ROBERT CYR (O.D.)

  • Poker Hill Road, Underhill, Chittenden County, Vermont, 05489, United States of America

    UNDERHILL, VT 054899610

    Phone: (802) 899-2105

    Type: Mailing

  • Williston Road, Williston, Marilla, Erie County, New York, 14052, United States of America

    STE 102

    WILLISTON, VT 054955321

    Phone: (802) 864-5428

    Type: Location

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: 2004-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040702001113IOptometryVTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05489)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486912607View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YWV
O P T O M E T R YNY
O P T O M E T R YVT
O P T O M E T R YVT
O P T O M E T R YVA

Reviews

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Frequently asked questions

Can I verify DR. CHARLES ROBERT CYR (O.D.) with an NPI only?
You can start verification with NPI 1104829100 for DR. CHARLES ROBERT CYR (O.D.), then check state licensing separately.
Does the file indicate DR. CHARLES ROBERT CYR (O.D.) is practicing under active NPI?
Directory data currently reports DR. CHARLES ROBERT CYR (O.D.) as active.
What taxonomy line describes DR. CHARLES ROBERT CYR (O.D.)?
For research purposes, treat DR. CHARLES ROBERT CYR (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. CHARLES ROBERT CYR (O.D.)?
DR. CHARLES ROBERT CYR (O.D.)'s geographic hint is Underhill, Vermont in our summary view.
Is the information about DR. CHARLES ROBERT CYR (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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