Regina Marie Devito, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV005610 Issued in NY

Practice address

3949 RT. 31
Liverpool, NY 13090

Phone

(315) 622-9269

Fax

(315) 622-3715

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Regina M. Devito, O.D., P.C.

  • Optometrist
  • Liverpool, NY
  • NPI 1508154949
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740361948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 WESTCLIFFE RD",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130789310",
            "telephone_number": "315-446-1685",
            "fax_number": "315-446-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 RT. 31",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-622-9269",
            "fax_number": "315-622-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITO",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP  HEALTHCARE",
            "identifier": "9681598",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHEILD",
            "identifier": "000132379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L. Depalmo, NP
• Angelo R. Derosalia, MD
• Lauren C Derrick, NP
• Karilyn Despain
• Chelsea Devine, RN
• Hailey Dewitt
• Justin Michael Dexter, MD
• Wendy Deziley
• Dayanna Eunice Diaz, MS, CF-SLP, TSSLD
• Lindsay Diaz, MS, DDS

• Optometrist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.