KEVIN G DEAN (O.D.) – Optometrist, NPI 1962516385

KEVIN G DEAN (O.D.) is a healthcare provider. based in Nampa, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-740 (ID). The NPI Number for KEVIN G DEAN (O.D.) is 1962516385

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN G DEAN (O.D.)
NPI
1962516385
Phone
(208) 466-7000
Address
343 W IOWA AVE
Enumeration Date
19 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2084667000
Graduation Year
1986 (40 years ago)
PAC ID
6002948726
Group Practice PAC ID
5698890739
Professional Enrollment ID
I20100914000371
Address ID
ID836862856NA343XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

268 OPTOMETRY in ID

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Provider Addresses for KEVIN G DEAN (O.D.)

  • 343, West Iowa Avenue, Nampa, Canyon County, Idaho, 83686, United States

    NAMPA, ID 836862856

    Phone: (208) 466-7000

    Fax: (208) 466-2205

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100914000371IOptometryIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes188182$0
99213Established patient office or other outpatient visit, 20-29 minutes7647$0
92134Imaging of retina3734$0
92133Imaging of optic nerve2824$0
66984Removal of cataract with insertion of prosthetic lens2415$0
View full utilization report →

Insurance plans in this area (ZIP 83686)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698890739View full group profile
NameSpecialtyState
O P T O M E T R YID
O P T O M E T R YGA
O P T O M E T R YID

Reviews

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Frequently asked questions

What identifier follows KEVIN G DEAN (O.D.) across health systems?
The NPI 1962516385 uniquely identifies KEVIN G DEAN (O.D.) in U.S. healthcare data.
Is KEVIN G DEAN (O.D.)'s NPI status active today?
Active status means KEVIN G DEAN (O.D.)'s NPI record is not deactivated in the public file.
What does the directory say KEVIN G DEAN (O.D.) does?
Insurance directories may phrase it differently, but here KEVIN G DEAN (O.D.) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN G DEAN (O.D.)?
KEVIN G DEAN (O.D.) shows a connection to Nampa, Idaho in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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