Devin G Depner, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000767 Issued in PA

Practice address

2576 Brodhead Rd
Aliquippa, PA 15001-4380

Phone

(724) 378-8585

Fax

(724) 375-1574

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Care, IncGroup PAC ID 5799722732, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Optometric Care, Inc

  • Optometrist
  • Bellevue, PA
  • NPI 1992713184
  Medicare reassignment Care Compare group
• Premier Eyecare of Cranberry Inc

  • Optometrist
  • Cranberry Township, PA
  • NPI 1215364351
  Medicare reassignment NPD
• Vitreo-Retinal Consultants, Inc.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1750347662
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1679547335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2576 BRODHEAD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014380",
            "telephone_number": "724-378-8585",
            "fax_number": "724-375-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 BRODHEAD RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150014380",
            "telephone_number": "724-378-8585",
            "fax_number": "724-375-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPNER",
        "first_name": "DEVIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000767",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG000767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019390180001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1450497",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Decker, RN
• Samantha-Jo Deitrick, MA, LBS, NCC
• Joseph P Dejonckheere, MD
• Cassandra Delisio, RN
• Deliverance Temple Minitries Roots Inc.
• Christopher Dericks
• Sanjit Kaur Dhaliwal, MD
• Benjamin L Diequez, RN
• Melissa Christine Donohue, MSW, LCSW
• Abigail Beverly Dorer, DMD

• Optometrist in Aliquippa, PA
• Providers in Aliquippa, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.