Individual provider Active NPI

Therese C Deschenes, OD

  • Optometrist
  • Trooper, PA
National Provider Identifier
1215966338
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE006871-T Issued in PA
Practice address
2900 W Germantown Pike
Trooper, PA 19403-1037
Phone
(610) 630-6633
Fax
(610) 630-8539
NPI assigned
Jul 1, 2006
Last updated
Oct 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE006871-T PA Primary

Addresses

Primary practice location

2900 W Germantown Pike
Trooper, PA 19403-1037

Mailing address

2900 W Germantown Pike
Trooper, PA 19403-1037
Phone (610) 630-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080325000541 PA Practitioner - Optometry 3274619622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 W Germantown Pike
Trooper, PA 19403-1037
Phone (610) 630-6633

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE006871-TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Therese C. Deschenes, OD; PC Optometrist CurrentSince Mar 3, 1991 Accepting new patients

Locations

2900 W Germantown Pike
Trooper, PA 19403
Phone (610) 630-6633

Organizations & group practices 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1215966338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W GERMANTOWN PIKE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-630-6633",
            "fax_number": "610-630-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W GERMANTOWN PIKE",
            "city": "TROOPER",
            "state": "PA",
            "postal_code": "194031037",
            "telephone_number": "610-630-6633",
            "fax_number": "610-630-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHENES",
        "first_name": "THERESE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006871-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trooper, PA

Sources for this page

Verify at the official NPI Registry.