Individual provider Active NPI

James P Devleming, OD

  • Optometrist
  • Pullman, WA
National Provider Identifier
1265511802
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1925TX Issued in WA
Practice address
238 E Main St
Pullman, WA 99163-2619
Phone
(509) 334-1131
Fax
(509) 332-4062
NPI assigned
Nov 3, 2006
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1925TX WA Primary

Addresses

Primary practice location

238 E Main St
Pullman, WA 99163-2619

Mailing address

238 E Main St
Pullman, WA 99163-2619
Phone (509) 334-1131

Other identifiers 2

IdentifierTypeStateIssuer
2025419MedicaidWA
55813OtherWAL & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101106000066 WA Practitioner - Optometry 9830209824 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Pullman, WA
O20100930020926 WA DME Supplier - Physician - OptometristDME Supplier - Optician 2860519949 Practice locations: Pullman, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye and Vision Clinic , PLLCGroup PAC ID 7719313790, 7 clinicians

Practice addresses (Care Compare)

238 E Main St
Pullman, WA 99163-2619
Phone (509) 334-1131

845 E 3Rd Ave
Ste. 11
Moses Lake, WA 98837-5902

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925TXWAMDOptometrist
1925TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pullman Vision Source Optometrist Current Accepting new patients
Valley Eye and Vision Clinic PLLC Optometrist Past Accepting new patients

Locations

238 E Main St
Pullman, WA 99163
Phone (509) 334-1131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1265511802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632619",
            "telephone_number": "509-334-1131",
            "fax_number": "509-332-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632619",
            "telephone_number": "509-334-1131",
            "fax_number": "509-332-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLEMING",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1925TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025419",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "55813",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.