KEYDRON DWANE DEROSA OD DOCTOR OF OPTOMET
NPI 1366514309
Optometrist in Hermitage, PA

Q: What is Keydron Derosa's NPI number?

The NPI number for Keydron Derosa is 1366514309. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Keydron Derosa'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 Keydron Derosa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 14, 2006

1275 NORTH HERMITAGE ROAD, WALMART VISION CENTER, HERMITAGE, PA 16148(724) 346-5950(724) 342-6246 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Keydron Dwane Derosa Od Doctor Of Optomet NPPES

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

KEYDRON DWANE DEROSA OD DOCTOR OF OPTOMET (NPI 1366514309) is an individual optometrist in Hermitage, Pennsylvania, licensed in Pennsylvania (4976P) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366514309

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKEYDRON DWANE DEROSACredential: OD DOCTOR OF OPTOMET

Location Address1275 NORTH HERMITAGE ROAD, WALMART VISION CENTERHermitage, PA 16148

Mailing Address6599 West Middletown RoadCanfield, OH 44406-9417 · (330) 702-8855 · Fax (330) 702-8855

Phone(724) 346-5950

Fax(724) 342-6246

Sole ProprietorNo

Enumeration DateNovember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366514309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in PA · 4976P✔ Licensed in OH · 3165T405

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.

1275 NORTH HERMITAGE ROAD, Hermitage, PA 16148

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU13205

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 Keydron Derosa's NPI number?

The NPI number for Keydron Derosa is 1366514309. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Keydron Derosa located?

Keydron Derosa practices at 1275 North Hermitage Road Walmart Vision Center, Hermitage, PA 16148. The listed phone number is (724) 346-5950.

What is Keydron Derosa's specialty?

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

When was this NPI record last updated?

The NPPES record for Keydron Derosa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.