Individual provider Active NPI

Diane Marie Cates, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1154416246
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2901 Issued in FL
Practice address
2036 Forbes St
Jacksonville, FL 32204-3802
Phone
(904) 330-0466
Fax
(904) 387-1026
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2901 FL Primary

Addresses

Primary practice location

2036 Forbes St
Jacksonville, FL 32204-3802

Mailing address

12461 Mariah Ann CT South
Jacksonville, FL 32225
Phone (904) 220-6421

Other identifiers 2

IdentifierTypeStateIssuer
003139190AMedicaidGA
004670100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080614000016 FL Practitioner - Optometry 1557432895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6817 Southpoint Pkwy
Suite 1703
Jacksonville, FL 32216-6298
Phone (904) 330-0466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2901FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Marie Cates, O.D., P.a. Optometrist CurrentSince Jul 23, 2013 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Oct 15, 2013 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 15, 2013 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Low Vision Center of Northeast Florida Inc Optometrist PastSince Feb 9, 2009 Accepting new patients
Anthony J Potochick OD PA Optometrist PastSince Jan 10, 2008 Accepting new patients

Locations

2036 Forbes St
Jacksonville, FL 32204
Phone (904) 330-0466

580 W 8th St
Fl 3
Jacksonville, FL 32209
Phone (904) 244-9390

6817 Southpoint Pkwy
Ste 1703
Jacksonville, FL 32216
Phone (904) 330-0466

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: dcates127424@direct.shands.ufl.edu

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1154416246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 MARIAH ANN CT SOUTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32225",
            "telephone_number": "904-220-6421",
            "fax_number": "904-220-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 FORBES ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043802",
            "telephone_number": "904-330-0466",
            "fax_number": "904-387-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATES",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003139190A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004670100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.