Kaleb A Dieker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60610901 Issued in WA

Practice address

1211 S 40TH Ave
Yakima, WA 98908-3961

Phone

(509) 966-2966

Fax

(509) 966-3230

NPI assigned

Oct 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Pacific University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Eye Center Inc PSGroup PAC ID 4688666902, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Cascade Eye Center, Inc.,P.S.

  • Eyewear Supplier
  • Yakima, WA
  • NPI 1740364967
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1194077420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083961",
            "telephone_number": "509-966-2966",
            "fax_number": "509-966-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083961",
            "telephone_number": "509-966-2966",
            "fax_number": "509-966-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEKER",
        "first_name": "KALEB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60610901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059167",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Diaz
• Mariah Catalina Diaz
• Dibaum Shafar LLC
• Dickson and Neff PLLC
• Emmanuel Diego-Botello
• Lendelyn E Dieker, PHARMD, MBA, MPH
• Janine Diga
• Zachary Celestino Diiulio, M.D.
• Sheldon Dillon
• Fernando G Dimacali, P.T.

• Optometrist in Yakima, WA
• Providers in Yakima, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.