Jessica Deloglos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4336AT Issued in OR

Practice address

15901 SW Jenkins Rd
Aloha, OR 97006-5045

Phone

(503) 644-7615

NPI assigned

Feb 11, 2018

Last updated

Feb 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Whitehall, PA
  • NPI 1972549657
  Medicare reassignment NPD
• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Ephrata, PA
  • NPI 1386928208
  NPD

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

{
    "created_epoch": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1508365941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18676 NW CEDAR FALLS LOOP",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066083",
            "telephone_number": "610-969-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 SW JENKINS RD",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970065045",
            "telephone_number": "503-644-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOGLOS",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4336AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Anne Davis
• Annabelle Lee Dean
• Jennifer Louise Debono
• Rares N Deca, D.M.D.
• Kristen Dekker
• Jacquelyn M. Delplanche, O.D.
• Susan Tobey Denman, MD
• Marcie Katrina Denney
• Riita Mae Dillon
• Nhu Thao T DO

• Optometrist in Aloha, OR
• Providers in Aloha, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.