Individual provider Active NPI

Diane Christine Cornell McCoy, OD

  • Optometrist
  • Westfield, NY
National Provider Identifier
1033258405
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004891 Issued in NY
Practice address
105 E Main St
Westfield, NY 14787-1306
Phone
(716) 793-2020
Fax
(713) 793-3030
NPI assigned
Feb 5, 2007
Last updated
Jan 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000794 PA
Optometrist 152W00000X TUV004891 NY Primary

Addresses

Primary practice location

105 E Main St
Westfield, NY 14787-1306

Mailing address

60 East Evans Street
Mayville, NY 14757-1123
Phone (716) 753-5142

Other names 1

  • Dr. Diane Christine Cornell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070917000730 NY Practitioner - Optometry 5395839666 Reassigns benefits to 1 organization
I20190114002343 PA Practitioner - Optometry 5395839666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westfield Optical Studio LLCGroup PAC ID 2668732280, 2 clinicians
Art of Eyecare PCGroup PAC ID 3173588191, 5 clinicians

Practice addresses (Care Compare)

105 E Main St
Westfield, NY 14787-1306
Phone (716) 793-2020

1272 Liberty St
Franklin, PA 16323-1322
Phone (814) 432-2825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004891NYMDOptometrist
004891NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Eyecare, PC Optometrist CurrentSince Nov 27, 2018 Accepting new patients

Locations

1272 Liberty St
Franklin, PA 16323
Phone (814) 432-2825

2160 E State St
Hermitage, PA 16148
Phone (724) 342-5503

416 Market St
Warren, PA 16365
Phone (814) 723-2283

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1033258405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST EVANS STREET",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147571123",
            "telephone_number": "716-753-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E MAIN ST",
            "city": "WESTFIELD",
            "state": "NY",
            "postal_code": "147871306",
            "telephone_number": "716-793-2020",
            "fax_number": "713-793-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL MCCOY",
        "first_name": "DIANE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CORNELL",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, NY

Sources for this page

Verify at the official NPI Registry.