Deanna Korcha Ippolito

Primary specialty

OptometristTaxonomy code 152W00000X

License

005663 Issued in NY

Practice address

12 Colony CT
Summit, NJ 07901-3204

Phone

(908) 256-0853

NPI assigned

Aug 7, 2019

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 13

Addresses

Other names 1

• Deanna K Ippolito Other name

Medicare fee-for-service enrollment

Enrolled in NY, IL, MD, WI, PA, DC, FL, VA, CT, VT, NE, IN12 enrollments

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 12

Specialty

Optometry

Education

State University of New York - State College Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenville Eye Glass and Contacts IncGroup PAC ID 3678592268, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (60 of 61)

Locations (25 of 77)

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.

• Greenville Eyeglass & Contacts Inc

  • Optometrist
  • Greenville, IL
  • NPI 1104926674
  Medicare reassignment Care Compare group NPD
• Aea Eye Care LLC

  dba AEA Eye Care

  • Clinic/Center
  • Chicago, IL
  • NPI 1386121283
  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811

  PA

  Medicare reassignment NPD
• Aeg Pennsylvania Professional Inc

  dba Eyes on Regent Square

  • Optometrist
  • Pittsburgh, PA
  • NPI 1851958854
  Medicare reassignment NPD
• Apex Optometric Care PC

  • Optometrist
  • Hartford, CT
  • NPI 1346705027
  Medicare reassignment NPD
• Best Vision, Inc

  • Optometrist
  • Chaffee, NY
  • NPI 1336324300
  Medicare reassignment NPD
• Blake a Housler OD Inc

  dba Allegheny Eye Care

  • Optometrist
  • Kane, PA
  • NPI 1407046451
  Medicare reassignment NPD
• Clarkson Optometry Illinois, P.C.

  dba Clarkson Eyecare

  • Optometrist
  • Ballwin, MO
  • NPI 1548635758

  IL

  Medicare reassignment NPD
• CVG Optometry, LLC

  • Optometrist
  • Rochester, NY
  • NPI 1194959486
  Medicare reassignment NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1396396750

  IN

  Medicare reassignment NPD
• Granite City Vision, Inc.

  • Preferred Provider Organization
  • Granite City, IL
  • NPI 1174756902

  Optometrist

  Medicare reassignment NPD
• Hull & Williquette, LTD

  dba Eyewear Express

  • Optician
  • Rhinelander, WI
  • NPI 1982772547
  Medicare reassignment NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1225683121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COLONY CT",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COLONY CT",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013204",
            "telephone_number": "908-256-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "DEANNA",
        "middle_name": "KORCHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003625",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3689-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "005521",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011466",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00552100",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP32",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1525",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2728",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002862",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3221",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133916",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004474A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "IPPOLITO",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Inner Ventures
• Integrated Behavioral Care PA
• Investra Corp (Liss Pharmacy)
• Investra Corp. (Liss Pharmacy)
• Amanda Frances Iorio
• Keren Lital Isaacs Lebeau, PH.D.
• Amy Lynne Ishak, APRN
• Jefferson Isibor
• Anthony Iuzzolino, M.D.
• Kristen Allyssa Ivory, NP

• Optometrist in Summit, NJ
• Providers in Summit, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.