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Active NPI 1326040536 Individual Practitioner Male Practitioner

Dr. Angelo Joseph Devivo , OD

Optometrist • Manning, SC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Angelo Devivo, OD is a certified Optometrist practicing in Manning, SC. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Devivo delivers high-quality medical care to the local community at 1774 PAXVILLE HWY.

Dr. Devivo is affiliated with Myeyedr Optometry Of South Carolina, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, photography of the retina, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1774 Paxville Hwy

Manning, SC 291025071

Telephone 8034352494
Fax 8034358765
Associated Practice Facility / Clinic
🏢 Clarendon Eye Center P A Facility NPI 1174619423

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Manning, SC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +19.7 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Manning, SC (788 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Devivo (35 Years) 35 Yrs
Manning Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
89 82 $175.62 $120.11
99213 Established patient office or other outpatient visit, typically 15 minutes
76 67 $125.46 $85.01
92250 Photography of the retina
24 23 $95.00 $34.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $230.00 $156.65
92133 Imaging of optic nerve
15 13 $63.00 $33.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 13 $81.43 $52.62

Medical Specialties & State Licenses

CMS Verified: 2022-12-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License SC 2117

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License OH 4531 T1261

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D21171 (SC)

Hospital & Practice Group Affiliations

Myeyedr Optometry Of South Carolina, Llc

1268 Ebenezer Rd, Rock Hill, SC 297322341

Phone: 8033272001

Myeyedr Optometry Of South Carolina, Llc

1774 Paxville Hwy, Manning, SC 291025071

Phone: 8034352494

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1245528389

Doctor of Optometry

NPI 1255825709

Doctor of Optometry

NPI 1376161703

Doctor of Optometry

NPI 1851763726

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 14, 2022

Registered at 1774 PAXVILLE HWY, MANNING, SC 291025071 (Tel: 8034352494)

📍
Updated Business Mailing Address December 14, 2022

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

📍
Updated Practice Location July 26, 2022

Registered at 3310 MAGNOLIA ST, ORANGEBURG, SC 291151466 (Tel: 8035316900)

📍
Updated Business Mailing Address July 26, 2022

Registered at 3310 MAGNOLIA ST, ORANGEBURG, SC 291151466 (Tel: 8035316900)

NPI Profile Active February 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2011

Registered at 9485 MENTOR AVE, STE 110, MENTOR, OH 440608724 (Tel: 4402551115)

📍
Updated Business Mailing Address February 14, 2011

Registered at 9485 MENTOR AVE, STE 110, MENTOR, OH 440608724 (Tel: 4402551115)

👤
Provider Name / Credentials Updated February 14, 2011

Recorded as ANGELO DEVIVO, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2011

Optometrist (License #4531 T1261 in OH)

🟢
Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326040536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2005
Last Update: December 14, 2022
Sole Proprietor: No

Mailing Address

8614 Westwood Center Dr Fl 9

Vienna, VA 221822442

Phone: 7038478899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.