Individual provider Active NPI

Devin Burton Despain, O.D.

  • Optometrist
  • Billings, MT
National Provider Identifier
1730344698
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
800 Issued in MT
Practice address
1540 Lake Elmo Dr Ste 1
Billings, MT 59105-1798
Phone
(406) 245-2299
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 800 MT
Optometrist 152W00000X 800 MT Primary

Addresses

Primary practice location

1540 Lake Elmo Dr Ste 1
Billings, MT 59105-1798

Mailing address

1540 Lake Elmo Dr Ste 1
Billings, MT 59105-1798
Phone (406) 245-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20090403000146 MT Practitioner - Optometry 0749337020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Billings Family Optical PLLCGroup PAC ID 6406178466, 4 clinicians
Billings Family Eyecare Shiloh PLLCGroup PAC ID 2466805890, 4 clinicians

Practice addresses (Care Compare)

1540 Lake Elmo Dr
Suite 1
Billings, MT 59105-1798

1686 Shiloh Rd
Suite 3
Billings, MT 59106-1761
Phone (406) 245-2436

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Family Optical PLLC Optometrist CurrentSince Apr 1, 2012 Accepting new patients
Billings Family Eyecare Shiloh PLLC Optometrist CurrentSince Jul 18, 2023 Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients

Locations

1540 Lake Elmo Dr
Ste 1
Billings, MT 59105
Phone (406) 245-2299

1686 Shiloh Rd
Ste 3
Billings, MT 59106
Phone (406) 245-2436

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1730344698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE ELMO DR STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051798",
            "telephone_number": "406-245-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE ELMO DR STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051798",
            "telephone_number": "406-245-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "DEVIN",
        "middle_name": "BURTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MT",
            "license": "800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.