Drake Robert Devos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003083 Issued in GA

Practice address

4450 Calibre Xing NW Ste 1104
Acworth, GA 30101-4104

Phone

(678) 279-1141

NPI assigned

Jun 18, 2017

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marietta Eye Clinic, PAGroup PAC ID 0143210427, 39 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddevos1610408@nychhc.direct-ci.com

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.

• Marietta Eye Clinic PA

  dba Marietta Eye Clinic Johns Creek

  • Ophthalmology Physician
  • Suwanee, GA
  • NPI 1700675568
  Medicare reassignment Care Compare group NPD
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• Marietta Eye Clinic PA

  dba Marietta Eye Surgery at Johns Creek

  • Ophthalmologic Surgery Clinic/Center
  • Suwanee, GA
  • NPI 1225836869
  NPD
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Villa Rica, GA
  • NPI 1275221608

  Optometrist

  NPD
• Emory Medical Group, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1568661510
  NPD (past)
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1255333175

  Optometrist

  NPD (past)
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Cumming, GA
  • NPI 1629784160

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1669902094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE BLDG 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608935",
            "telephone_number": "941-725-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE XING NW STE 1104",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014104",
            "telephone_number": "678-279-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 1st Ave",
            "address_2": "AMBCare, 3A, Ophthalmology",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-562-4141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Peachtree St NE Ste 1850",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082264",
            "country_code": "US",
            "telephone_number": "404-778-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2990 Eagle Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301895575",
            "country_code": "US",
            "telephone_number": "481-067-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2453 Powder Springs Rd SW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300644570",
            "country_code": "US",
            "telephone_number": "770-801-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Jesse Hill Jr Dr SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033050",
            "country_code": "US",
            "telephone_number": "404-616-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 Canton Rd NE Bldg 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608935",
            "country_code": "US",
            "telephone_number": "770-427-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVOS",
        "first_name": "DRAKE",
        "middle_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5421",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008589",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Desandre
• James Michael Desorbo, RPH
• Nia Iman Devaughn
• Rebecca Dever, LMFT
• Devonshire Healthcare Systems, Inc.,
• Sandeep Dhaliwal, MD
• James Anthony Di Blasi, DC
• Jamie Leigh Diagostino, PHARMD
• Sarah Kathleen Didier
• Dignity Place, Inc

• Optometrist in Acworth, GA
• Providers in Acworth, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.
• 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.