Derek M. Pierron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007271 Issued in OH

Practice address

115 S Tippecanoe Dr
Tipp City, OH 45371-1194

Phone

(937) 667-1270

Fax

(937) 667-7198

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Eyecare Associates IncGroup PAC ID 2062496284, 10 clinicians

Tipp Eye Center IncGroup PAC ID 6709919905, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primary Eyecare Associates Inc

  • Optometrist
  • Sidney, OH
  • NPI 1093927881
  Medicare reassignment Care Compare group NPD
• Tipp Eye Center Inc

  • Optometrist
  • Tipp City, OH
  • NPI 1861543571
  Medicare reassignment Care Compare group NPD
• Primary Eyecare Associates Inc

  • Optometrist
  • Fort Loramie, OH
  • NPI 1528270311
  NPD
• Mercer in-Sight LLC

  • Optometrist
  • Celina, OH
  • NPI 1245528090
  NPD (past)

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1881442168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711194",
            "telephone_number": "937-667-1270",
            "fax_number": "937-667-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S TIPPECANOE DR",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711194",
            "telephone_number": "937-667-1270",
            "fax_number": "937-667-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRON",
        "first_name": "DEREK",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Perkins, ATC
• Kristen Marie Peterson
• Jacqueline Rene Phillips
• Kathleen Phillips
• Jason Pierce
• Steven Joseph Pierson, D.D.S.
• Kimberly Poast
• Cindy Pogue, CNP
• Thimothy Pol
• Sheila M Portz, HAS

• Optometrist in Tipp City, OH
• Providers in Tipp City, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.