Dr Gerrit H Devries, OD is a
Optometrist based in Demotte, Indiana. Dr Gerrit H Devries is licensed to practice in Indiana (license number 18001809B) and his current practice location is
609 N Halleck St, Demotte, Indiana. He can be reached at his office (for appointments etc.) via phone at
(219) 987-3673.
NPI number for Dr Gerrit H Devries is 1992729206 and his current mailing address is Po Box 849, Demotte, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992729206.
Healthcare Provider's Profile
| Full Name | Dr Gerrit H Devries |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 609 N Halleck St, Demotte, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992729206
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 09/02/2010
Medical Identifiers
Medical identifiers for Dr Gerrit H Devries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992729206 | NPI | - | NPPES |
| 100142770A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 18001809B (Indiana) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 18001809B (Indiana) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 18001809B (Indiana) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 18001809B (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerrit H Devries is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gerrit H Devries, OD
Po Box 849,
Demotte, IN 46310-0849
Ph: (219) 987-3673 | Dr Gerrit H Devries, OD
609 N Halleck St,
Demotte, IN 46310-9545
Ph: (219) 987-3673 |
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