Esteban Guillermo Diaz, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO-003407 Issued in AZ

Practice address

1607 W Bethany Home Rd
Phoenix, AZ 85015-2507

Phone

(602) 249-7272

NPI assigned

Nov 20, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1386469666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S ELLIS ST APT 1081",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244958",
            "telephone_number": "305-572-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152507",
            "telephone_number": "602-249-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Tucson Marketplace Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136508",
            "country_code": "US",
            "telephone_number": "520-917-0319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ESTEBAN",
        "middle_name": "GUILLERMO",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "LDO-003407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Diaz
• Carlos Gilberto Diaz, M.D.
• Cheryl Diaz, COTA/L
• Dawn Marie Diaz, WHNP OR CRNP
• Desiree Diaz, MA, LPC
• Ivette T. Diaz, P.A.
• Jennifer Diaz, LCSW
• Lauren Jackson Diaz
• Marci Linda Diaz, LPN
• Maria Diaz, FP

• Optician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.