Individual provider Active NPI

Catherine Derewyanko, O.D.

  • Optometrist
  • Hobe Sound, FL
National Provider Identifier
1356625115
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4656 Issued in FL
Practice address
11714 SE Federal Hwy
Hobe Sound, FL 33455-5303
Phone
(772) 546-4116
NPI assigned
Sep 28, 2011
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4656 FL Primary

Addresses

Primary practice location

11714 SE Federal Hwy
Hobe Sound, FL 33455-5303

Mailing address

9398 SE Sharon St
Hobe Sound, FL 33455-6835
Phone (561) 801-6749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111222000166 FL Practitioner - Optometry 8022284066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hobe Sound Eye Care, LLCGroup PAC ID 8820521693, 2 clinicians

Practice addresses (Care Compare)

11714 SE Federal Hwy
Hobe Sound, FL 33455-5303
Phone (772) 546-4116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4656FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hobe Sound Eye Care LLC Optometrist CurrentSince Aug 24, 2024 Accepting new patients
Aeg Florida Professional PLLC Optometrist CurrentSince Jun 25, 2025 Accepting new patients
East Florida Eye Institute PA Past Accepting new patients
David a Garfield Optometrist PastSince Aug 11, 2024 Accepting new patients

Locations

3615 W Woolbright Rd
Boynton Beach, FL 33436
Phone (561) 734-1887

11714 SE Federal Hwy
Hobe Sound, FL 33455
Phone (772) 546-4116

4252 Northlake Blvd
Palm Beach Gardens, FL 33410
Phone (561) 355-8788

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1356625115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9398 SE SHARON ST",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334556835",
            "telephone_number": "561-801-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11714 SE FEDERAL HWY",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555303",
            "telephone_number": "772-546-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREWYANKO",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.