Diana Bollenbacher, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6148/T3063 Issued in OH

Practice address

7580 Cox LN
West Chester, OH 45069-6519

Phone

(513) 759-5100

Fax

(513) 759-5801

NPI assigned

Jul 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Diana Mikhail Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Customeyes Vision Center IncGroup PAC ID 8123250040, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Customeyes Vision Center, Inc.

  • Optometrist
  • West Chester, OH
  • NPI 1962825802
  Medicare reassignment Care Compare group NPD
• Wing Eyecare, Inc.

  • Optometrist
  • Florence, KY
  • NPI 1912194986
  NPD (past)

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1336494525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 COX LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696519",
            "telephone_number": "513-759-5100",
            "fax_number": "513-759-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 COX LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696519",
            "telephone_number": "513-759-5100",
            "fax_number": "513-759-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLENBACHER",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6148/T3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MIKHAIL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Anne Boehm, DDS
• Joann Bohan, OT
• Daniel Bokeno, DC
• Bokheva Health
• Bold Beginnings Wellness
• Sherry D Bolton, LPN
• Mary Carol Bonham-Richardson, PHARMD, R.PH
• Nyree Bonner
• Caitlin Bonno, CDCA
• Lelashawn Booker

• Optometrist in West Chester, OH
• Providers in West Chester, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.