Active NPI
Diane Liette, LDO
- Optician
- Fairfield, OH
National Provider Identifier
1154005312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 004440-S
- Practice address
- 211 Donald Dr
Fairfield, OH 45014-3069 - Phone
- (513) 454-1111
- NPI assigned
- Jun 9, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 004440-S | OH | Primary |
Addresses
Primary practice location
211 Donald Dr
Fairfield, OH 45014-3069
Mailing address
PO Box 837
Hamilton, OH 45012-0837
Phone (513) 869-4917
Other practice location 1
601 N Breiel Blvd Unit B
Middletown, OH 45042-3899
Phone (513) 454-1111
Other practice location 2
3045 Busenbark Rd Ste B
Trenton, OH 45067-7611
Phone (513) 454-1111
Other practice location 3
250 N Fair Ave Ste B
Hamilton, OH 45011-4222
Phone (513) 454-1111
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 |
|---|---|---|---|
| 004440-S | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1154005312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 837",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450120837",
"telephone_number": "513-869-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 DONALD DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143069",
"telephone_number": "513-454-1111"
}
],
"practiceLocations": [
{
"address_1": "601 N Breiel Blvd Unit B",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450423899",
"country_code": "US",
"telephone_number": "513-454-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3045 Busenbark Rd Ste B",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "OH",
"postal_code": "450677611",
"country_code": "US",
"telephone_number": "513-454-1111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 N Fair Ave Ste B",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "450114222",
"country_code": "US",
"telephone_number": "513-454-1111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIETTE",
"first_name": "DIANE",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-09",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "004440-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.