Active NPI
Hobe Sound Eye Care LLC
- Optometrist
- Hobe Sound, FL
National Provider Identifier
1013752831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HOBE SOUND EYE CARE LLC
- Practice address
- 11714 SE Federal Hwy
Hobe Sound, FL 33455-5303 - Phone
- (772) 546-4116
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Catherine Derewyanko, OD
- Title
- Optometrist
- Phone
- (561) 801-6749
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
11714 SE Federal Hwy
Hobe Sound, FL 33455-5303
Mailing address
9398 SE Sharon St
Hobe Sound, FL 33455-6835
Phone (561) 801-6749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241031003121 | FL | Part B Supplier - Clinic/Group Practice | 8820521693 |
Receives reassigned benefits from 3 practitioners Practice locations: Hobe Sound, FL |
National Provider Directory
National Provider DirectoryLocations
11714 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 546-4116
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1013752831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9398 SE SHARON ST",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334556835",
"telephone_number": "561-801-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11714 SE FEDERAL HWY",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334555303",
"telephone_number": "772-546-4116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOBE SOUND EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "DEREWYANKO",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "561-801-6749",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobe Sound, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.