DR. ALEXANDER VAN DYCK (OD) – Optometrist, NPI 1154809507
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,977 OPTOMETRY in NY
Provider Addresses for DR. ALEXANDER VAN DYCK (OD)
3 JAMES SQ
WILLIAMSBURG, VA 231853342
Phone:
Type: Mailing
305 Division Ave
Brooklyn, NY 112117307
Phone: (718) 964-6161
Type: Location
8138, Watson Street, Howard, Tysons, Fairfax County, Virginia, 22102, United States
TYSONS, VA 221024416
Phone: (877) 234-2020
Type: Location
5399 WILLISTON RD STE 102
WILLISTON, VT 054955321
Phone:
Type: Mailing
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: 2022-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20190211000493 | I | Optometry | MD | TBD |
| I20191118000653 | I | Optometry | DC | TBD |
| I20211209000738 | I | Optometry | VT | TBD |
| I20220606002136 | I | Optometry | NH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 119 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 92250 | Photography of the retina | 19 | 19 | $0 |
| 92133 | Imaging of optic nerve | 15 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 23185)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| O P T O M E T R Y | WV | |
| O P T O M E T R Y | NY | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VT | |
| O P T O M E T R Y | VA |
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