Dana Michele McDermott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

263T Issued in WY

Practice address

420 Arapahoe Street
Thermopolis, WY 82443-2708

Phone

(307) 864-2324

Fax

(307) 864-2330

NPI assigned

Jul 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gillette Optometric Clinic PC

  • Corneal and Contact Management Optometrist
  • Gillette, WY
  • NPI 1891850707
  NPD (past)
• Ryte Rehabilitation LLC

  • Physical Therapist
  • Thermopolis, WY
  • NPI 1790388478
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023035854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ARAPAHOE STREET",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432708",
            "telephone_number": "307-864-2324",
            "fax_number": "307-864-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ARAPAHOE STREET",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432708",
            "telephone_number": "307-864-2324",
            "fax_number": "307-864-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "DANA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "263T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11504720",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "263T",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Lynn Magruder, MD
• Kevin Robert Mahoney, M.D.
• Jantina Anna Manning, M.S., CCC-SLP
• Becky Martinez
• Mattson Mathey, M.D.
• Tina McGinty
• Ashle Rhea McLean
• Cynthea Bronson Mikkelsen
• Rachel E Miller, P.T.
• Vernon Walter Miller, MD

• Optometrist in Thermopolis, WY
• Providers in Thermopolis, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.