Orlando a Diaz Jr

Primary specialty

OptometristTaxonomy code 152W00000X

License

1153 Issued in OK

Legal business name

ORLANDO A DIAZ JR

Doing business as

Orlando A Diaz OD

Practice address

660 SW 19TH St Ste G
Moore, OK 73160-5406

Phone

(405) 794-0176

Fax

(405) 794-0176

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Orlando A Diaz Jr., ODNPI 1396790671

Title

Owner

Phone

(405) 473-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orlando A Diaz OD Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Orlando A Diaz, OD

  • Optometrist
  • Moore, OK
  • NPI 1396790671
  Authorized official Same address or phone

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1093219313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RENE PL",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748048980",
            "telephone_number": "405-473-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SW 19TH ST STE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605406",
            "telephone_number": "405-794-0176",
            "fax_number": "405-794-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO A DIAZ JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-473-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando A Diaz OD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando A Diaz OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Moore, OK
• Providers in Moore, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.