Organization Active NPI

Betts and Demott Eye Care & Optical Boutique

  • Optometrist
  • Seaford, DE
National Provider Identifier
1396980884
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001197 Issued in DE
Legal business name
BETTS AND DEMOTT EYE CARE & OPTICAL BOUTIQUE
Practice address
8500 Herring Run Rd
Seaford, DE 19973-5795
Phone
(302) 629-6691
Fax
(302) 629-7963
NPI assigned
Dec 11, 2008
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Dr. Phillip Demott, ODNPI 1104412790
Title
Owner
Phone
(302) 629-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001197 DE Primary

Addresses

Primary practice location

8500 Herring Run Rd
Seaford, DE 19973-5795

Mailing address

8500 Herring Run Rd
Seaford, DE 19973-5795
Phone (302) 629-6691

Other identifiers 6

IdentifierTypeStateIssuer
510252R89OtherDEBLUE CROSS BLUE SHIELD
1124071899OtherDENPI
256256OtherDECOVENTRY
U20423OtherDEMID ATLANTIC HEALTH
510252212OtherDETRICARE
4523347OtherDEAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000606 DE Part B Supplier - Clinic/Group Practice 6608930789 Receives reassigned benefits from 2 practitioners
Practice locations: Seaford, DE

National Provider Directory

National Provider Directory

Locations

23094 Atlanta Rd
Seaford, DE 19973
Phone (302) 629-5766

8500 Herring Run Rd
Seaford, DE 19973
Phone (302) 629-6691

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1396980884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735795",
            "telephone_number": "302-629-6691",
            "fax_number": "302-629-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 HERRING RUN RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735795",
            "telephone_number": "302-629-6691",
            "fax_number": "302-629-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTS AND DEMOTT EYE CARE & OPTICAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "DEMOTT",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-629-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510252R89",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124071899",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "256256",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC HEALTH",
            "identifier": "U20423",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "510252212",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4523347",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.