Active NPI
Devin Acel Duval, O.D.
- Optometrist
- Provo, UT
National Provider Identifier
1164834834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9042285-9934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164834834 | Medicaid | UT |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1977 | KS | MD | Clinical Social Worker |
| 9042285-9934 | UT | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Optometrist
- Provo, UT
- NPI 1578949699
-
- Vision Therapy Optometrist
- Wichita, KS
- NPI 1427177625
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.