Roger S Van Dyke, MD is a
Ophthalmology physician based in Lew London, Connecticut. Roger S Van Dyke is licensed to practice in Connecticut (license number 002816) and his current practice location is 4 Shaws Cove, Coastal Eye Center Ste 105, Lew London, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 447-8664.
NPI number for Roger S Van Dyke is 1831116599 and his current mailing address is 4 Shaws Cove, Ste 105, Lew London, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831116599.
Physician's Profile
Full Name | Roger S Van Dyke |
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Gender | Male |
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Speciality | Ophthalmology |
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Location | 4 Shaws Cove, Lew London, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831116599
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Roger S Van Dyke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831116599 | NPI | - | NPPES |
010022816CT01 | Other | CT | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 002816 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roger S Van Dyke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Roger S Van Dyke, MD 4 Shaws Cove, Ste 105, Lew London, CT 06320-4956 Ph: (860) 447-8664 | Roger S Van Dyke, MD 4 Shaws Cove, Coastal Eye Center Ste 105, Lew London, CT 06320-4956 Ph: (860) 447-8664 |
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