Active NPI
Dery & Eads, P.a.
- Optometrist
- Naples, FL
National Provider Identifier
1467530741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0978
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0482590001 | Other | FL | DMERC-GROUP PTAN |
| 33184 | Other | FL | GROUP MEDICARE NUMBER |
| 620721900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dery & Eads, P.a. | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Naples, FL
- NPI 1164499125
-
- Optometrist
- Naples, FL
- NPI 1750358404
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.