Derek J Dake OD PC
NPI 1770319352 · Optometrist · Newberry, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek J Dake OD PC is a Optometrist organization in Newberry, MI (NPI 1770319352).
Provider details
- NPI number
- 1770319352
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Derek Dake, Owner(906) 322-3312
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-09-11
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Derek J Dake OD PC's NPI number?
- Derek J Dake OD PC's National Provider Identifier (NPI) is 1770319352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derek J Dake OD PC?
- Derek J Dake OD PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Derek J Dake OD PC located?
- Derek J Dake OD PC's practice location on file with NPPES is 504 W Harrie St, Newberry, MI 49868-1200.
- What is Derek J Dake OD PC's phone number?
- The practice phone number listed in the NPPES registry for Derek J Dake OD PC is (906) 291-2015.
- Does Derek J Dake OD PC accept Medicare?
- Derek J Dake OD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derek J Dake OD PC?
- The authorized official listed on Derek J Dake OD PC's NPPES record is Derek Dake, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derek J Dake OD PC's NPI active?
- Yes — Derek J Dake OD PC's NPI (1770319352) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.