Keydron Dwane Derosa, OD DOCTOR OF OPTOMET
NPI 1366514309ActiveIndividual· Optometrist· Hermitage, PA
Optometrist (OD DOCTOR OF OPTOMET) in Hermitage, Pennsylvania, licensed in PA and OH, with an NPI issued in November 2006.
Overview
| NPI | 1366514309 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD DOCTOR OF OPTOMET |
| Sole proprietor | No |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4976P | PA |
| Optometrist | 152W00000X | 3165T405 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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