NPPES file of Aug 9, 2026

Keydron Dwane Derosa, OD DOCTOR OF OPTOMET

Optometrist · Hermitage, PA

Keydron Dwane Derosa, OD DOCTOR OF OPTOMET is an optometrist with a practice address in Hermitage, Pennsylvania, and NPI 1366514309, issued on Nov 14, 2006. Check the license (Pennsylvania 4976P, as entered in NPPES) with the Pennsylvania board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366514309
Name
Keydron Dwane Derosa
Credential
OD DOCTOR OF OPTOMET
Primary taxonomy
Optometrist 152W00000X
License numbers
4976P PA
3165T405 OH
Self-reported in NPPES; status is on the state search
Practice location
1275 North Hermitage Road, Hermitage, PA 16148
Phone
(724) 346-5950
Enumerated
Nov 14, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(724) 342-6246
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Keydron Dwane Derosa in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license 4976P
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Pennsylvania license search

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Keydron Dwane Derosa among 2,640 optometrist records in Pennsylvania

Keydron Dwane Derosa, OD DOCTOR OF OPTOMET is one of 2,640 optometrist records with a practice address in Pennsylvania. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 14% of them.

  • NPI issued2006 · 14% of these records are older, 48% newer
  • In a Medicare fileNo · 72% of these records are
  • In the CMS Doctors and Clinicians fileNo · 60% of these records are
  • Record last updated2007 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 optometrist records list a practice address in Hermitage

They are 9 of the 513 NPPES records with a practice address in Hermitage, and 2,640 optometrist records in Pennsylvania. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 optometrist records with the nearest ZIP codes

  1. David Ankney, O.D.Hermitage, PA 161481255783049
  2. Neil Callahan, O.D.Hermitage, PA 161481568568277
  3. Alan Frank, ODHermitage, PA 161481831188309
  4. George Martuccio, ODHermitage, PA 161481063505345
  5. Margaret Mastrian, O.D.Hermitage, PA 161481972586766
  6. Louis Mastrian, O.D.Hermitage, PA 161481255314043
  7. Kevin PollockHermitage, PA 161481134067382
  8. Gary Roberts, ODHermitage, PA 161481598843815

Common questions

What is Keydron Dwane Derosa, OD DOCTOR OF OPTOMET's NPI number?

Keydron Dwane Derosa, OD DOCTOR OF OPTOMET's National Provider Identifier (NPI) is 1366514309, issued on Nov 14, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Keydron Dwane Derosa, OD DOCTOR OF OPTOMET located?

The NPPES record lists a practice address at 1275 North Hermitage Road, Hermitage, PA, 16148. Phone: (724) 346-5950. Providers update this record themselves, so call before visiting.

How can I verify Keydron Dwane Derosa, OD DOCTOR OF OPTOMET's license?

NPPES lists Pennsylvania license number 4976P, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.