Active NPI
Joanne Deveau, OD
- Optometrist
- Ozone Park, NY
National Provider Identifier
1013553833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008929
- Practice address
- 10222 Atlantic Ave
Ozone Park, NY 11416-1739 - Phone
- (718) 846-1144
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008929 | NY | Primary |
Addresses
Primary practice location
10222 Atlantic Ave
Ozone Park, NY 11416-1739
Mailing address
10222 Atlantic Ave
Ozone Park, NY 11416-1739
Phone (718) 846-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008929 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ejmvkk Associates Inc | Optometrist | Current | Accepting new patients |
| Sap Optical | Optometrist | Past | Accepting new patients |
Locations
10222 Atlantic Ave
Ozone Park, NY 11416
Phone (718) 846-1144
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Ozone Park, NY
- NPI 1992189153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1013553833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10222 ATLANTIC AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161739",
"telephone_number": "718-846-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10222 ATLANTIC AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161739",
"telephone_number": "718-846-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVEAU",
"first_name": "JOANNE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.