Charles Robert Cyr, O.D.
Individual provider Active NPI Optometrist · Williston, VT
NPI 1104829100 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104829100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 030-0000228 (VT)
- Practice address
- 5399 Williston Rd
Ste 102
Williston, VT 05495-5321 - Phone
- (802) 864-5428
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040702001113 | VT | Practitioner - Optometry | 9234116567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030-0000228 | VT | MD | Optometrist |
| 228 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Vermont LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Vermont LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Vermont LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of West Virginia, PLLC | Optometrist | Past | Accepting new patients |
Locations
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
5399 Williston Rd
Williston, VT 05495
Phone (802) 862-1808
5399 Williston Rd
Ste 10
Williston, VT 05495
Phone (802) 864-5428
5399 Williston Rd
Ste 102
Williston, VT 05495
Phone (802) 864-5428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 228 | VT | |
| Optometrist | 152W00000X | 030-0000228 | VT | Yes |
Addresses
Primary practice location
5399 Williston Rd
Ste 102
Williston, VT 05495-5321
Mailing address
380 Poker Hill Rd
Underhill, VT 05489-9610
Phone (802) 899-2105
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.