Individual provider Active NPI

Diana Kay Overberger, O.D.

  • Optometrist
  • Rocky River, OH
National Provider Identifier
1114956786
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5235 Issued in OH
Practice address
21014 Center Ridge Rd
Rocky River, OH 44116-4305
Phone
(440) 331-4644
Fax
(440) 356-5045
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5235 OH Primary

Addresses

Primary practice location

21014 Center Ridge Rd
Rocky River, OH 44116-4305

Mailing address

23811 Cliff Dr
Bay Village, OH 44140-2908
Phone (440) 617-0765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040414000077 OH Practitioner - Optometry 6204820004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Kelly OD IncGroup PAC ID 4880947738, 4 clinicians

Practice addresses (Care Compare)

433 Dover Ctr Rd
Bay Village, OH 44140-2355
Phone (440) 871-1139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5235OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas M. Kelly O.D., Inc. CurrentSince Nov 1, 2025 Accepting new patients
Thomas Kelly OD Inc Optometrist CurrentSince Nov 1, 2025 Accepting new patients
Jeffrey E. Schultz, O.D., Inc Optometrist Past Accepting new patients

Locations

433 Dover Center Rd
Bay Village, OH 44140
Phone (440) 871-1139

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114956786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CLIFF DR",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441402908",
            "telephone_number": "440-617-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21014 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164305",
            "telephone_number": "440-331-4644",
            "fax_number": "440-356-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBERGER",
        "first_name": "DIANA",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

Verify at the official NPI Registry.