Active NPI
Diana P Lua, LICENSED OPTICIAN
- Optician
- Yuma, AZ
National Provider Identifier
1053191411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 2386I
- Practice address
- 2501 S Avenue B
Yuma, AZ 85364-7734 - Phone
- (928) 317-6874
- Fax
- (928) 317-6876
- NPI assigned
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 2386I | AZ | Primary |
Addresses
Primary practice location
2501 S Avenue B
Yuma, AZ 85364-7734
Mailing address
1874 S 17TH Ave
Yuma, AZ 85364-5354
Phone (928) 287-9138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2386I | AZ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1053191411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 S 17TH AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "853645354",
"telephone_number": "928-287-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S AVENUE B",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647734",
"telephone_number": "928-317-6874",
"fax_number": "928-317-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUA",
"first_name": "DIANA",
"middle_name": "P",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "AZ",
"license": "2386I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.