Organization Active NPI

Dery & Eads, P.a.

  • Optometrist
  • Naples, FL
National Provider Identifier
1467530741
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0978 Issued in FL
Legal business name
DERY & EADS, P.A.
Practice address
60 10TH St N
Naples, FL 34102-6217
Phone
(239) 261-7071
Fax
(239) 263-0807
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Norman James Dery, O.D.
Title
Optometrist
Phone
(239) 261-7071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0978 FL Primary

Addresses

Primary practice location

60 10TH St N
Naples, FL 34102-6217

Mailing address

60 10TH St N
Naples, FL 34102-6217
Phone (239) 261-7071

Other identifiers 3

IdentifierTypeStateIssuer
0482590001OtherFLDMERC-GROUP PTAN
33184OtherFLGROUP MEDICARE NUMBER
620721900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071204000272 FL Part B Supplier - Clinic/Group Practice 3173612892 Receives reassigned benefits from 2 practitioners
Practice locations: Naples, FL
O20100930001701 FL DME Supplier - Physician - Optometrist 3173612892 Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dery & Eads, P.a.60 10TH St N, Naples, FL 34102-6217(239) 261-7071 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 16, 2001

National Provider Directory

National Provider Directory

Locations

60 10th St N
Naples, FL 34102
Phone (239) 261-7071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1467530741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 10TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026217",
            "telephone_number": "239-261-7071",
            "fax_number": "239-263-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 10TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026217",
            "telephone_number": "239-261-7071",
            "fax_number": "239-263-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERY & EADS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "DERY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "239-261-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-GROUP PTAN",
            "identifier": "0482590001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "33184",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620721900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.