Individual provider Active NPI

Diana S. Lee, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1255430070
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6597TG Issued in TX
Practice address
2930 Preston Rd Ste 905
Frisco, TX 75034-9056
Phone
(972) 334-9095
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6597TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6597TG TX

Addresses

Primary practice location

2930 Preston Rd Ste 905
Frisco, TX 75034-9056

Mailing address

2930 Preston Rd Ste 905
Frisco, TX 75034-9056
Phone (972) 334-9095

Other identifiers 1

IdentifierTypeStateIssuer
2568416OtherTXUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120508000270 TX Practitioner - Optometry 3274795380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6597TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eye Associates PA Optometrist CurrentSince May 1, 2012 Accepting new patients

Locations

2930 Preston Rd
Ste 905
Frisco, TX 75034
Phone (972) 334-9095

Organizations & group practices 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1255430070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 PRESTON RD STE 905",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349056",
            "telephone_number": "972-334-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 PRESTON RD STE 905",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349056",
            "telephone_number": "972-334-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DIANA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6597TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6597TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2568416",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.