Individual provider Active NPI

Duane Douglas Deeds, O.D.

  • Optometrist
  • Chesapeake, OH
National Provider Identifier
1851391007
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4832 Issued in OH
Practice address
11139 County Road 1
Chesapeake, OH 45619-7015
Phone
(740) 867-4411
Fax
(740) 867-8416
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4832 OH Primary
Optometrist 152W00000X 961-OD WV

Addresses

Primary practice location

11139 County Road 1
Chesapeake, OH 45619-7015

Mailing address

11139 County Road 1
Chesapeake, OH 45619-7015
Phone (740) 867-4411

Other identifiers 1

IdentifierTypeStateIssuer
2026702MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031209000237 OH Practitioner - Optometry 8729984034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deeds Family Vision Care Inc.Group PAC ID 0840188207, 2 clinicians

Practice addresses (Care Compare)

11139 County Rd
Suite 1
Chesapeake, OH 45619-7015
Phone (740) 867-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4832OHMDClinical Psychologist
961-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deeds Family Vision Care Inc. Optometrist CurrentSince Jan 1, 2004 Accepting new patients

Locations

11139 County Road 1
Chesapeake, OH 45619
Phone (740) 862-4411

Organizations & group practices 1

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1851391007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11139 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197015",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11139 COUNTY ROAD 1",
            "city": "CHESAPEAKE",
            "state": "OH",
            "postal_code": "456197015",
            "telephone_number": "740-867-4411",
            "fax_number": "740-867-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "DUANE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4832",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "961-OD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026702",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, OH

Sources for this page

Verify at the official NPI Registry.