Diane H. Mando

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1108 Issued in KY

Practice address

375 Thomas More Pkwy
Crestview Hills, KY 41017-2176

Phone

(859) 341-5383

Fax

(859) 341-3504

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SSJ Incorporated

  dba Mando's Optical

  • Eyewear Supplier
  • Crestview Hills, KY
  • NPI 1154542496
  NPD

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1194001859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172176",
            "telephone_number": "859-341-5383",
            "fax_number": "859-341-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172176",
            "telephone_number": "859-341-5383",
            "fax_number": "859-341-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDO",
        "first_name": "DIANE",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Makar, MD
• Amanda Mallory Spillman, PA-C
• Jennifer Malmstrom, ARNP
• Sithandiwe Mamutse, APRN, MSN, PMHNP-BC
• Chaitanya Mandapakala, MD
• Jason Robert Martin, M.D.
• Michaela Martin
• Abigail E. Mathis, APRN
• Mayfield Clinic Inc
• MCB Behavioral Health, P.L.L.C.

• Optician in Crestview Hills, KY
• Providers in Crestview Hills, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.