Individual provider Active NPI

Elizabeth Baker Diener, O.D.

  • Optometrist
  • Reading, PA
National Provider Identifier
1265651194
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001061 Issued in PA
Practice address
838 Penn St
Reading, PA 19602-1108
Phone
(610) 988-4838
NPI assigned
Apr 25, 2007
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001061 PA Primary

Addresses

Primary practice location

838 Penn St
Reading, PA 19602-1108

Mailing address

1110 Rockland St
Reading, PA 19604-1501
Phone (484) 772-1111

Other identifiers 1

IdentifierTypeStateIssuer
018810340001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080331000284 PA Practitioner - Optometry 5597841510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Community Health CenterGroup PAC ID 2860643582, 16 clinicians

Practice addresses (Care Compare)

1110 Rockland St
Reading, PA 19604-1525
Phone (610) 988-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients
Berks Community Health Center CurrentSince Apr 1, 2018 Accepting new patients

Locations

1110 Rockland St
Reading, PA 19604
Phone (610) 988-3848

645 Penn St
Ste 301
Reading, PA 19601
Phone (484) 772-4073

838 Penn St
Reading, PA 19602
Phone (610) 988-4838

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1265651194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROCKLAND ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041501",
            "telephone_number": "484-772-1111",
            "fax_number": "484-772-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "ELIZABETH",
        "middle_name": "BAKER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018810340001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.