Individual provider Active NPI

Keith F Delprince, OD

  • Optometrist
  • Elma, NY
National Provider Identifier
1881635548
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T4730 Issued in NY
Practice address
980 West Maple Court
Elma, NY 14059-9530
Phone
(716) 652-0870
Fax
(716) 652-2071
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T4730 NY Primary

Addresses

Primary practice location

980 West Maple Court
Elma, NY 14059-9530

Mailing address

980 West Maple Court
Elma, NY 14059-9530
Phone (716) 652-0870

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110204000164 NY Practitioner - Optometry 1355487919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Optometric Group PCGroup PAC ID 2466478441, 6 clinicians

Practice addresses (Care Compare)

980 W Maple CT
Elma, NY 14059-9397
Phone (716) 652-0870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T4730NYMDOptometrist
004730NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Optometric Group, P.C. Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1881635548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599530",
            "telephone_number": "716-652-0870",
            "fax_number": "716-652-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599530",
            "telephone_number": "716-652-0870",
            "fax_number": "716-652-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPRINCE",
        "first_name": "KEITH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

Verify at the official NPI Registry.