Individual provider Active NPI

Joshua Keith Diehl, O.D.

  • Optometrist
  • Clarion, PA
National Provider Identifier
1013941491
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001788 Issued in PA
Practice address
1350 E Main St
Suite 20
Clarion, PA 16214-6224
Phone
(814) 226-4862
Fax
(814) 226-8741
NPI assigned
Jul 10, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001788 PA Primary

Addresses

Primary practice location

1350 E Main St
Suite 20
Clarion, PA 16214-6224

Mailing address

1350 E Main St
Suite 20
Clarion, PA 16214-6224
Phone (814) 226-4862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000520 PA Practitioner - Optometry 6901909464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarion Eye Care, Inc.Group PAC ID 7517065568, 3 clinicians

Practice addresses (Care Compare)

1350 E Main St
Suite 20
Clarion, PA 16214-6278
Phone (814) 226-4862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001788PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarion Eye Care, Inc. Optometrist CurrentSince Nov 14, 2006 Accepting new patients

Locations

1350 E Main St
Ste 20
Clarion, PA 16214
Phone (814) 226-4862

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1013941491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE 20",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162146224",
            "telephone_number": "814-226-4862",
            "fax_number": "814-226-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MAIN ST",
            "address_2": "SUITE 20",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162146224",
            "telephone_number": "814-226-4862",
            "fax_number": "814-226-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "JOSHUA",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

Verify at the official NPI Registry.