Individual provider Active NPI

Vincent Michael Deninis, OD

  • Optometrist
  • Bluffton, SC
National Provider Identifier
1730660846
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00726200 Issued in NJ
Practice address
10 William Pope Dr Ste 6
Bluffton, SC 29909-7550
Phone
(843) 705-1524
Fax
(843) 705-1524
NPI assigned
Aug 27, 2018
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.2222 SC
Optometrist 152W00000X 270A00726200 NJ Primary

Addresses

Primary practice location

10 William Pope Dr Ste 6
Bluffton, SC 29909-7550

Mailing address

11 Parklands Dr Unit 638
Bluffton, SC 29910-5196
Phone (607) 727-0007

Other practice location 1

3455 Vestal Pkwy E
Vestal, NY 13850-2147
Phone (607) 722-2020

Other practice location 2

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 888-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181212000178 PA Practitioner - Optometry 4587908934 Reassigns benefits to 1 organization
I20181217001980 NY Practitioner - Optometry 4587908934 Reassigns benefits to 1 organization
I20210104000317 SC Practitioner - Optometry 4587908934

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
96.55
Promoting interoperability
96
Improvement activities
40
Cost
75.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2222SCMDChiropractor
270A00726200NJMDOptometrist
OPT.2222SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Nov 1, 2018 Accepting new patients
Guthrhie Medical Group, P.C. Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Franklin H Spirn MD Inc Current Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: vdeninis140455@direct-guthrie.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1730660846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARKLANDS DR UNIT 638",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105196",
            "telephone_number": "607-727-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR STE 6",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097550",
            "telephone_number": "843-705-1524",
            "fax_number": "843-705-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138502147",
            "country_code": "US",
            "telephone_number": "607-722-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-888-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENINIS",
        "first_name": "VINCENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.2222",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00726200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.