Diane M Slotemaker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

46-009028 Issued in IL

Practice address

1730 W Fullerton Ave
Chicago, IL 60614-1900

Phone

(773) 327-3000

Fax

(773) 327-3015

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Diane M Virden Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890

  IL

  Medicare reassignment Care Compare group NPD
• Wilma, LTD

  • Optometrist
  • Melrose Park, IL
  • NPI 1831120088
  Medicare reassignment NPD
• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  NPD (past)
• Thaddeus, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1831120005
  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1104946235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S PLYMOUTH CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052719",
            "telephone_number": "773-327-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTEMAKER",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-009028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "VIRDEN",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellisa Slonim, M.A. CCC-SLP
• Sloop Dental Inc
• Kevin Michael Sloss, RMA, CHES
• Jessica Anne Slostad, M.D.
• Yuriy Slota
• Robert I Slott, MD
• Ross A. Slotten, MD
• Caitlin Hughs Slotter, PSYD
• David M Sloven, MD
• Patrycja Monika Slowik-Roszkowski, RBT-76-1487

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.