Individual provider Active NPI

Douglas K Devries, O.D.

  • Optometrist
  • Sparks, NV
National Provider Identifier
1629037296
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
252 Issued in NV
Practice address
2285 Green Vista Dr
Sparks, NV 89431-8532
Phone
(775) 674-1100
Fax
(775) 674-1114
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 252 NV Primary

Addresses

Primary practice location

2285 Green Vista Dr
Sparks, NV 89431-8532

Mailing address

2285 Green Vista Dr
Sparks, NV 89431-8532
Phone (775) 674-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20111214000953 NV Practitioner - Optometry 7911958830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul W Hiss MD LTDGroup PAC ID 9830089739, 6 clinicians

Practice addresses (Care Compare)

2285 Green Vista Dr
Sparks, NV 89431-1071
Phone (775) 674-1100

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
100
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul W. Hiss, MD, LTD CurrentSince Jan 1, 1989 Accepting new patients
Eye Care Associates of Nevada Las Vegas, Inc Past Accepting new patients
Wildcreek Surgery Center PastSince Apr 12, 1999 Accepting new patients

Locations

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629037296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 GREEN VISTA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318532",
            "telephone_number": "775-674-1100",
            "fax_number": "775-674-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 GREEN VISTA DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318532",
            "telephone_number": "775-674-1100",
            "fax_number": "775-674-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.