Individual provider Active NPI

Devrick Jamal Cliett Sr., OPTICIAN OWNER

  • Optician
  • Chadds Ford, PA
National Provider Identifier
1316585102
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
225 Wilmington Pike
Suite 200
Chadds Ford, PA 19317
Phone
(610) 427-1144
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

225 Wilmington Pike
Suite 200
Chadds Ford, PA 19317

Mailing address

207 E Parkway Ave
Chester, PA 19013-4610
Phone (215) 796-3434

Other names 1

  • Mr. Devrick Jamal Cliett Sr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1316585102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E PARKWAY AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134610",
            "telephone_number": "215-796-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WILMINGTON PIKE",
            "address_2": "SUITE 200",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "610-427-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIETT",
        "first_name": "DEVRICK",
        "middle_name": "JAMAL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "OPTICIAN OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVRICK",
            "last_name": "CLIETT",
            "middle_name": "JAMAL",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "DEVSOPTICS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chadds Ford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.