DEVIN COLEMAN – Optometrist, NPI 1457159790

DEVIN COLEMAN is a healthcare provider. based in Camdenton, Missouri. specializing in OPTOMETRY. They hold a License No. 2025018601 (MO). The NPI Number for DEVIN COLEMAN is 1457159790

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DEVIN COLEMAN
NPI
1457159790
Phone
(573) 346-5951
Address
117 South Business Route Hwy 5
Enumeration Date
4 March 2025
Last Update Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733653717
Graduation Year
2025 (1 year ago)
PAC ID
7315443918
Group Practice PAC ID
5991856460
Professional Enrollment ID
I20251002001579
Address ID
MO650499728LA3251XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

Provider Addresses for DEVIN COLEMAN

  • 117 South Business Route Hwy 5

    Camdenton, MO 65020

    Phone: (573) 346-5951

    Type: Location

  • 6619 243RD CT

    SALEM, WI 531688803

    Phone: (262) 308-3561

    Type: Mailing

  • 130 S MAIN ST

    LAURIE, MO 65038

    Phone: (573) 374-5222

    Type: Location

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: 2025-10-02

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
I20251002001579IOptometryMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65020)

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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: 5991856460View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YMO
-IL
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

Does DEVIN COLEMAN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEVIN COLEMAN uses 1457159790.
Is DEVIN COLEMAN still practicing?
DEVIN COLEMAN is currently listed as active in the public NPI registry.
What is DEVIN COLEMAN's specialty?
The listing groups DEVIN COLEMAN with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DEVIN COLEMAN based?
DEVIN COLEMAN is tied to Camdenton, Missouri in the data we show; additional addresses may exist on the full record.
Why does DEVIN COLEMAN have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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