DR. DOUGLAS W DEVORE (O.D.) – Optometrist, NPI 1104813542
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
Loading map...
Provider Addresses for DR. DOUGLAS W DEVORE (O.D.)
101, North Veterans Parkway, Bloomington, McLean County, Illinois, 61704, United States
BLOOMINGTON, IL 617043596
Phone: (309) 663-2700
Type: Mailing
607 BOLL WEEVIL CIR # C
ENTERPRISE, AL 363302733
Phone: (334) 347-6599
Fax: (334) 417-0190
Type: Location
820 E LEE ST
ENTERPRISE, AL 363302011
Phone: (334) 393-2020
Type: Location
PO BOX 207243
DALLAS, TX 753207243
Phone: (636) 200-4393
Fax: (636) 527-0766
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Alcon Vision LLC ($151).
Total Amount
$336
General + Research + Ownership
Payments
13
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230808003763 | I | Optometry | AL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61704)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | MO | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | AL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.