DR. JACK DEVORE O.D.
NPI 1023098555
Optometrist in Delmar, NY

Q: What is Jack Devore's NPI number?

The NPI number for Jack Devore is 1023098555. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Jack Devore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Devore was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2006PECOS Enrolled

4 NORMANSKILL BLVD, SUITE 400, DELMAR, NY 12054(518) 478-9992(518) 439-0796 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jack Devore O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK DEVORE O.D. (NPI 1023098555) is an individual optometrist in Delmar, New York, licensed in New York (VUT003734) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023098555

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACK DEVORECredential: O.D.

Location Address4 NORMANSKILL BLVD, SUITE 400Delmar, NY 12054-1335

Mailing Address4 Normanskill Blvd, Suite 400Delmar, NY 12054-1335 · (518) 478-9992 · Fax (518) 439-0796

Phone(518) 478-9992

Fax(518) 439-0796

Sole ProprietorYes

Enumeration DateJanuary 19, 2006

Last NPPES UpdateFebruary 27, 2008

✔ NPI 1023098555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · VUT003734

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4 NORMANSKILL BLVD, Delmar, NY 12054

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Other Identifiers 8

Other59336NY · Mvp

Medicare ID-Type UnspecifiedBB8388

Medicare NSC1326770001NY

Other410044002NY · Railraod Medicare

Other10034805NY · Cdphp

OtherC6476NY · Empire Bc

Medicaid01419103NY

Other000495454001NY · Bs Neny

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Devore O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jack Devore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Buenau's Opticians Inc

0.4 mi

Durable Medical Equipment & Medical Supplies

228 DELAWARE AVE
Delmar, NY 12054

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Buenaus Opticians Inc
5 clinicians in this Medicare group

NPI 1659425650 (518) 439-7012

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK DEVORE, OD

Eyewear Supplier

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 478-9992

DR. KENNETH J KROOPNICK M.D.

Pediatrics

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 478-9423

MS. NANCY NOBLE GARDNER LCSW

Social Worker (Clinical)

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 465-9700

SAVINO CHIROPRACTIC PLLC

Chiropractor

4 NORMANSKILL BLVD, SUITE 404
DELMAR, NY 12054

Albany County (518) 439-1100

DR. ROBERT BRAND DDS

Dentist (General Practice)

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 475-7822

RENAISSANCE DENTAL PC

Dentist

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 261-4800

GINA MARIE CIARMIELLO OD

Optometrist

4 NORMANSKILL BLVD, SUITE 400
DELMAR, NY 12054

Albany County (518) 478-9992

CAPITAL AREA HUDSON VALLEY NY DENTAL, PC

Dentist (General Practice)

4 NORMANSKILL BLVD
DELMAR, NY 12054

Albany County (518) 475-7822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Devore's NPI number?

The NPI number for Jack Devore is 1023098555. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Jack Devore located?

Jack Devore practices at 4 Normanskill Blvd Suite 400, Delmar, NY 12054. The listed phone number is (518) 478-9992.

What is Jack Devore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jack Devore enrolled in Medicare?

Yes. Jack Devore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Devore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Devore reassigns Medicare benefits to Buenau's Opticians Inc (Delmar, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Devore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Devore was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.