Individual provider Active NPI

Douglas W Devore, O.D.

  • Optometrist
  • Enterprise, AL
National Provider Identifier
1104813542
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R-332 Issued in AL
Practice address
607 Boll Weevil Cir # C
Enterprise, AL 36330-2733
Phone
(334) 347-6599
Fax
(334) 417-0190
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007697 IL
Optometrist 152W00000X R-332 AL Primary

Addresses

Primary practice location

607 Boll Weevil Cir # C
Enterprise, AL 36330-2733

Mailing address

607 Boll Weevil Cir # C
Enterprise, AL 36330-2733
Phone (334) 347-6599

Other identifiers 1

IdentifierTypeStateIssuer
046007697MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20230808003763 AL Practitioner - Optometry 8123050630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Partners PCGroup PAC ID 8123016334, 31 clinicians
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

607 Boll Weevil Cir
Suite C
Enterprise, AL 36330-2733
Phone (334) 793-2211

820 E Lee St
Enterprise, AL 36330-2011
Phone (334) 393-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007697ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Partners, PC Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Eye Partners PC Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Eye Partners PC CurrentSince Nov 17, 2025 Accepting new patients
Oneopto Il 2 PLLC Optometrist PastSince Sep 28, 2025 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
Vep Il Optometric LLC Optometrist PastSince Apr 1, 2024 Accepting new patients
Jak Enterprise Inc Past Accepting new patients

Locations

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

820 E Lee St
Enterprise, AL 36330
Phone (334) 393-2020

607 Boll Weevil Cir
#C
Enterprise, AL 36330
Phone (334) 347-6599

288 S Forest Ave
Luverne, AL 36049
Phone (334) 335-2020

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

578 Andrews Ave
Ozark, AL 36360
Phone (334) 445-3937

Interoperability endpoints

  • Direct secure messaging: douglas.devore.p1@direct.ecs.nextgenshare.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_eca
  • Direct secure messaging: douglas.devore@direct.eyecare-partners.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1104813542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BOLL WEEVIL CIR # C",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302733",
            "telephone_number": "334-347-6599",
            "fax_number": "334-417-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BOLL WEEVIL CIR # C",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302733",
            "telephone_number": "334-347-6599",
            "fax_number": "334-417-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "DOUGLAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007697",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007697",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.