Individual provider Active NPI

Devin Acel Duval, O.D.

  • Optometrist
  • Provo, UT
National Provider Identifier
1164834834
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9042285-9934 Issued in UT
Practice address
320 River Park Dr Ste 245
Provo, UT 84604-6065
Phone
(801) 800-8508
Fax
(385) 595-0195
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 9042285-9934 UT
Sports Vision Optometrist 152WS0006X 9042285-9934 UT
Vision Therapy Optometrist 152WV0400X 9042285-9934 UT
Optometrist 152W00000X 9042285-9934 UT Primary

Addresses

Primary practice location

320 River Park Dr Ste 245
Provo, UT 84604-6065

Mailing address

309 W 100 S
Orem, UT 84058-5493
Phone (801) 800-8508

Other identifiers 1

IdentifierTypeStateIssuer
1164834834MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20150921002835 UT Practitioner - Optometry 9032334354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duval Eye Care, LLCGroup PAC ID 8426365628, 2 clinicians

Practice addresses (Care Compare)

320 River Park Dr
Suite 245
Provo, UT 84604-6065
Phone (801) 800-8508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1977KSMDClinical Social Worker
9042285-9934UTMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Vision Development Center Vision Therapy Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1164834834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W 100 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585493",
            "telephone_number": "801-800-8508",
            "fax_number": "801-800-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR STE 245",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046065",
            "telephone_number": "801-800-8508",
            "fax_number": "385-595-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "DEVIN",
        "middle_name": "ACEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "UT",
            "license": "9042285-9934",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "UT",
            "license": "9042285-9934",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "UT",
            "license": "9042285-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9042285-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164834834",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.