Kevin G Dean, O.D.
Individual provider Active NPI Optometrist · Nampa, ID
NPI 1962516385 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962516385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODP-740 (ID)
- Practice address
- 343 W Iowa Ave
Nampa, ID 83686-2856 - Phone
- (208) 466-7000
- Fax
- (208) 466-2205
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Veh, Inc
Practice addresses (Care Compare)
343 W Iowa Ave
Nampa, ID 83686-2856
Phone (208) 466-7000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000371 | ID | Practitioner - Optometry | 6002948726 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veh, Inc | Optometrist | Current |
Accepting new patients |
Locations
343 W Iowa Ave
Nampa, ID 83686
Phone (208) 466-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-740 | ID | Yes |
Addresses
Primary practice location
343 W Iowa Ave
Nampa, ID 83686-2856
Mailing address
343 W Iowa Ave
Nampa, ID 83686-2856
Phone (208) 466-7000
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.