NPIMap

Organization Active NPI

Diana L Haskins

  • Optometrist
  • Evanston, IL
National Provider Identifier
1326308941
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008855 Issued in IL
Legal business name
DIANA L HASKINS
Practice address
635 Chicago Ave
Evanston, IL 60202-2365
Phone
(847) 864-8209
Fax
(847) 864-0058
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Diana L Haskins, O.D.NPI 1811065469
Title
Owner
Phone
(847) 864-8209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008855 IL Primary

Addresses

Primary practice location

635 Chicago Ave
Evanston, IL 60202-2365

Mailing address

635 Chicago Ave
Evanston, IL 60202-2365
Phone (847) 864-8209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1326308941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022365",
            "telephone_number": "847-864-8209",
            "fax_number": "847-864-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 CHICAGO AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022365",
            "telephone_number": "847-864-8209",
            "fax_number": "847-864-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA L HASKINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-864-8209",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.