Derek James Eibon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007065 Issued in OH

Practice address

185 S State St
Westerville, OH 43081-2232

Phone

(614) 678-5989

NPI assigned

May 25, 2022

Last updated

May 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Visioncare, LLCGroup PAC ID 7911961370, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Professional Visioncare LLC

  • Optometrist
  • Johnstown, OH
  • NPI 1053439125
  Medicare reassignment Care Compare group NPD
• Professional Visioncare LLC

  • Optometrist
  • Lewis Center, OH
  • NPI 1477075562
  NPD
• Professional Visioncare LLC

  dba The Solution Center

  • Optometrist
  • Westerville, OH
  • NPI 1902924970
  NPD
• Professional Visioncare LLC

  • Optometrist
  • Westerville, OH
  • NPI 1730204694
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1295473692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 ASCHINGER BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432124613",
            "telephone_number": "440-986-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 S STATE ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812232",
            "telephone_number": "614-678-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBON",
        "first_name": "DEREK",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Scott Efaw, CT
• Omoefe Efetevbia, NP-C
• Mary Egan
• Iziegbe Kingsley Ehiorobo, MD
• George W Ehrenberg
• Christine Marie Eichelberger, PH.D.
• Paul H Eichenseer, DO
• Andrew Paul Eilerman, DO
• Maria Eismann
• Shahrazad El Sebaei, BCBA/COBA

• Optometrist in Westerville, OH
• Providers in Westerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.