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

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: August 09, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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 15

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
MS. SANDRA S COHEN LCSW
Social Worker (Clinical)
4 NORMANSKILL BLVD, STE 402
DELMAR, NY 12054
Albany County (518) 439-8442
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

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.

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.