Diana K Overberger OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

5235 Issued in OH

Legal business name

DIANA K OVERBERGER OD INC

Practice address

21014 Center Ridge Rd
Rocky River, OH 44116-4305

Phone

(440) 331-4644

Fax

(440) 356-5045

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Diana K Overberger, O.D.NPI 1114956786

Title

President

Phone

(440) 331-4644

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Kay Overberger, O.D.

  • Optometrist
  • Rocky River, OH
  • NPI 1114956786
  Authorized official Same address or phone

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1376781898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30165 LAKE RD",
            "city": "BAY VILLAGE",
            "state": "OH",
            "postal_code": "441401242",
            "telephone_number": "440-331-4644",
            "fax_number": "440-356-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21014 CENTER RIDGE RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164305",
            "telephone_number": "440-331-4644",
            "fax_number": "440-356-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA K OVERBERGER OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "OVERBERGER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-331-4644",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.