IndividualActiveAccepts Medicare
Paul Dewitt, OD
NPI 1366474207 · Optometrist · Teecnospos, AZ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366474207
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 2320 (CO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
US Hwy 160 & Navajo Route 35 - Red Mesa
Teecnospos, AZ 86514
Phone: (928) 656-5000
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 61 Box 30
Teec Nos Pos, AZ 86514-9600
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.