Diana N Medlin, OD, MH, PDH

Primary specialty

OptometristTaxonomy code 152W00000X

License

989 Issued in SC

Practice address

2070 Sam Rittenberg Blvd Ste 412
Charleston, SC 29407-4605

Phone

(843) 556-8844

NPI assigned

Jul 12, 2006

Last updated

Nov 10, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eye on Eyes

  • Optometrist
  • Charleston, SC
  • NPI 1851614358
  Authorized official Same address or phone
• Eye Associates of Charleston Inc

  • Optometrist
  • Charleston, SC
  • NPI 1609335348
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1235164864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W SHIPYARD RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646658",
            "telephone_number": "843-971-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 SAM RITTENBERG BLVD STE 412",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074605",
            "telephone_number": "843-556-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "DIANA",
        "middle_name": "N",
        "credential": "OD, MH, PDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP9891",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical University of South Carolina
• Medical University of South Carolina (MUSC Physicians)
• Medical University of South Carolina
• Medical Univesrsity of South Carolina
• Ana Maria Medina, MD
• Victoria Medlin, MS, RD, LD
• Drake Meeder, PHARMD
• Amanda Foster Meehan
• Patrick P. Meehan, MD
• Casey Adam Meek, MD

• Optometrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.