Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Keydron Dwane Derosa, OD DOCTOR OF OPTOMET

Optometrist in Hermitage, PA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366514309

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Registry record

Entity type Individual (Type 1)

Name Keydron Dwane Derosa

Credential OD DOCTOR OF OPTOMET

Sex Male

Practice address 1275 North Hermitage Road, Walmart Vision Center, Hermitage, PA, 16148

Phone (724) 346-5950

Fax (724) 342-6246

Enumeration date Nov 14, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 4976P (PA) Primary

152W00000X Optometrist Eye and Vision Services Providers · License 3165T405 (OH) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Keydron Derosa practice?

The practice location on file with NPPES is in Hermitage, PA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Keydron Derosa?

The National Provider Identifier (NPI) for Keydron Derosa is 1366514309, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.