Active NPI
Diana Smith, DO6088
- Optician
- Estero, FL
National Provider Identifier
1205528296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO6088
- Practice address
- 19975 S Tamiami TRL
Estero, FL 33928-2268 - Phone
- (239) 590-0313
- NPI assigned
- May 25, 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 | DO6088 | FL | Primary |
Addresses
Primary practice location
19975 S Tamiami TRL
Estero, FL 33928-2268
Mailing address
20469 Torre del Lago St
Estero, FL 33928-6316
Phone (954) 729-4416
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 |
|---|---|---|---|
| DO6088 | FL | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1205528296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20469 TORRE DEL LAGO ST",
"city": "ESTERO",
"state": "FL",
"postal_code": "339286316",
"telephone_number": "954-729-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19975 S TAMIAMI TRL",
"city": "ESTERO",
"state": "FL",
"postal_code": "339282268",
"telephone_number": "239-590-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIANA",
"credential": "DO6088",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO6088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.