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DR. THEODORE MARTIN DEVORE O.D.
NPI 1174684484
Optometrist in Commack, NY

Active since December 12, 2006PECOS Enrolled
6401 JERICHO TPKE, COMMACK, NY 11725(631) 462-1188(631) 462-5127 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Martin Devore O.d. NPPES

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

DR. THEODORE MARTIN DEVORE O.D. (NPI 1174684484) is an individual optometrist in Commack, New York, licensed in New York (3350) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174684484
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THEODORE MARTIN DEVORECredential: O.D.
Location Address6401 JERICHO TPKECommack, NY 11725-2832
Mailing Address6401 Jericho TpkeCommack, NY 11725-2832 · (631) 462-1188 · Fax (631) 462-5127
Phone(631) 462-1188
Fax(631) 462-5127
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1174684484 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 · 3350
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.
6401 JERICHO TPKE, Commack, NY 11725
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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. Theodore Martin 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 11725 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 2

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

L & R OPTICAL, INC
Optometrist
6401 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-1188
RED OPTICAL CORP
Optometrist
6401 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-1188

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 Theodore Devore's NPI number?

The NPI number for Theodore Devore is 1174684484. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Theodore Devore located?

Theodore Devore practices at 6401 Jericho Tpke, Commack, NY 11725. The listed phone number is (631) 462-1188.

What is Theodore Devore's specialty?

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

Is Theodore Devore enrolled in Medicare?

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

What insurance does Theodore Devore accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Theodore Devore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Devore was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.