Active NPI
David Diaz, O.D.
- Optometrist
- Gilbert, AZ
National Provider Identifier
1255754438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1957
- Practice address
- 2156 E. Williams Field Rd.
#104
Gilbert, AZ 85296 - Phone
- (480) 814-2584
- Fax
- (480) 963-9591
- NPI assigned
- Jan 24, 2014
- Last updated
- Jan 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1957 | AZ | Primary |
Addresses
Primary practice location
2156 E. Williams Field Rd.
#104
Gilbert, AZ 85296
Mailing address
14405 W. Colfax Ave
#310
Lakewood, CA 80401
Phone (303) 522-7137
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 |
|---|---|---|---|
| 1957 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1255754438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14405 W. COLFAX AVE",
"address_2": "#310",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "80401",
"telephone_number": "303-522-7137",
"fax_number": "303-302-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2156 E. WILLIAMS FIELD RD.",
"address_2": "#104",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85296",
"telephone_number": "480-814-2584",
"fax_number": "480-963-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-24",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.