Individual provider Active NPI

John Francis Desmone, O.D.

  • Optometrist
  • Havelock, NC
National Provider Identifier
1285707703
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1414 Issued in NC
Practice address
306 E Main St
Suite a
Havelock, NC 28532-2214
Phone
(252) 447-2768
Fax
(888) 774-3877
NPI assigned
Nov 15, 2006
Last updated
Jul 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 1414 NC Primary

Addresses

Primary practice location

306 E Main St
Suite a
Havelock, NC 28532-2214

Mailing address

306 E Main St
Suite a
Havelock, NC 28532-2214
Phone (252) 447-2768

Other identifiers 2

IdentifierTypeStateIssuer
890961AMedicaidNC
0961AOtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080128000738 NC Practitioner - Optometry 9032291190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 544-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1414NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince Nov 5, 2018 Accepting new patients

Locations

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

306 E Main St
#A
Havelock, NC 28532
Phone (252) 447-2768

306A E Main St
Havelock, NC 28532
Phone (252) 447-2768

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1285707703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-2768",
            "fax_number": "888-774-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAIN ST",
            "address_2": "SUITE A",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-2768",
            "fax_number": "888-774-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMONE",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890961A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0961A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havelock, NC

Sources for this page

Verify at the official NPI Registry.