Individual provider Active NPI

John S. Deaton, D.O.

  • Ophthalmology Physician
  • Ocala, FL
National Provider Identifier
1366434144
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS0005800 Issued in FL
Practice address
4414 SW College Rd Ste 1462
Ocala, FL 34474-4790
Phone
(352) 622-5183
Fax
(352) 629-5026
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS0005800 FL Primary

Addresses

Primary practice location

4414 SW College Rd Ste 1462
Ocala, FL 34474-4790

Mailing address

1500 SE Magnolia Ext Ste 101
Ocala, FL 34471-4452
Phone (352) 622-5183

Other practice location 1

8520 SW Highway 200
Ocala, FL 34481-7730
Phone (352) 622-5183

Other practice location 2

1950 Laurel Manor Dr Ste 250
The Villages, FL 32162-5602
Phone (352) 622-5183

Other practice location 3

1500 SE Magnolia Ext
Suite 106
Ocala, FL 34471-4463
Phone (352) 622-5183

Other identifiers 2

IdentifierTypeStateIssuer
80285OtherFLBC/BS PROVIDER NUMBER
271926600MedicaidFL

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0005800FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Eye Optical, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1366434144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714452",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 SW COLLEGE RD STE 1462",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744790",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8520 SW Highway 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817730",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Laurel Manor Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625602",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SE Magnolia Ext",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344714463",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-622-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEATON",
        "first_name": "JOHN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS0005800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "80285",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271926600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.