MR. JOHN K DEATON (O.D.) – Optometrist, NPI 1497752109

MR. JOHN K DEATON (O.D.) is a healthcare provider. based in Tyler, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 05562TG (TX). The NPI Number for MR. JOHN K DEATON (O.D.) is 1497752109

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN K DEATON (O.D.)
NPI
1497752109
Phone
(903) 595-4144
Address
1424 EAST FRONT
Enumeration Date
7 July 2005
Last Update Date
6 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
9035954144
Graduation Year
1998 (28 years ago)
PAC ID
9830179936
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20040721000097
Address ID
TX757028501TY1424XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for MR. JOHN K DEATON (O.D.)

  • 1424, East Front Street, Tyler, Smith County, Texas, 75702, United States

    TYLER, TX 757028501

    Phone: (903) 595-4144

    Fax: (903) 596-7541

    Type: Location

  • PO BOX 130639

    TYLER, TX 757130639

    Phone: (903) 595-4167

    Fax: (903) 596-7541

    Type: Mailing

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: 2004-07-21

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
I20040721000097IOptometryTXTBD

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
92014Established patient complete exam of visual system340332$0
92004New patient complete exam of visual system181181$0
92012Established patient problem focused exam of visual system11387$0
92133Imaging of optic nerve8383$0
92083Exam of visual field with extended testing5550$0
View full utilization report →

Insurance plans in this area (ZIP 75702)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

How do I look up MR. JOHN K DEATON (O.D.) by NPI?
Use NPI 1497752109 when you need to reference MR. JOHN K DEATON (O.D.) in forms, claims, or directories.
Is MR. JOHN K DEATON (O.D.) currently active in the NPI registry?
CMS-published data lists MR. JOHN K DEATON (O.D.) as an active registrant.
What kind of provider is MR. JOHN K DEATON (O.D.)?
The page reflects Optometrist for MR. JOHN K DEATON (O.D.). Clinical services aligned with this taxonomy classification.
Where is MR. JOHN K DEATON (O.D.)'s primary listing?
We display Tyler, Texas because that is what the record indicates for MR. JOHN K DEATON (O.D.).
How can I contact MR. JOHN K DEATON (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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