Individual provider Active NPI

Anne Michelle Deeds, O.D.

  • Optometrist
  • South Point, OH
National Provider Identifier
1487654620
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4890/T1755 Issued in OH
Practice address
604 4TH St. E
South Point, OH 45680
Phone
(740) 867-4411
Fax
(740) 867-8416
NPI assigned
Jul 29, 2005
Last updated
Feb 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4890/T1755 OH Primary

Addresses

Primary practice location

604 4TH St. E
South Point, OH 45680

Mailing address

604 4TH St. E
South Point, OH 45680
Phone (740) 867-4411

Other identifiers 1

IdentifierTypeStateIssuer
2017525MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000083 OH Practitioner - Optometry 2163329236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deeds Family Vision Care Inc.Group PAC ID 0840188207, 2 clinicians

Practice addresses (Care Compare)

11139 County Rd
Suite 1
Chesapeake, OH 45619-7015
Phone (740) 867-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4890/T1755OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deeds Family Vision Care Inc. Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Bethesda Services LLC Past Accepting new patients

Locations

11139 County Road 1
Chesapeake, OH 45619
Phone (740) 862-4411

604 4th St E
South Point, OH 45680
Phone (740) 534-2100

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1487654620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 4TH ST. E",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "45680",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 4TH ST. E",
            "city": "SOUTH POINT",
            "state": "OH",
            "postal_code": "45680",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "ANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4890/T1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Point, OH

Sources for this page

Verify at the official NPI Registry.