Individual provider Active NPI

Devon L Meyer, O.D.

  • Optometrist
  • Eaton, OH
National Provider Identifier
1376607093
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2885 T564 Issued in OH
Practice address
309 Eaton Lewisburg Rd
Eaton, OH 45320-1104
Phone
(937) 456-5559
Fax
(937) 456-1089
NPI assigned
Dec 20, 2006
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2885 T564 OH Primary

Addresses

Primary practice location

309 Eaton Lewisburg Rd
Eaton, OH 45320-1104

Mailing address

309 Eaton Lewisburg Rd
PO Box 117
Eaton, OH 45320-1104
Phone (937) 456-5559

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

State licenses

LicenseStateTypeSpecialty
2885 T564OHMDOptometrist
2885OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KD Hofmann Eye Care Professionals Inc. Optometrist PastSince Jan 1, 2014 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1376607093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 EATON LEWISBURG RD",
            "address_2": "PO BOX 117",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201104",
            "telephone_number": "937-456-5559",
            "fax_number": "937-456-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 EATON LEWISBURG RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201104",
            "telephone_number": "937-456-5559",
            "fax_number": "937-456-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DEVON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2885  T564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.