Orlando A Diaz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1153 Issued in OK

Practice address

660 SW 19TH St Ste G
Moore, OK 73160-5406

Phone

(405) 794-0176

NPI assigned

May 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1396790671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RENE PL",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748048980",
            "telephone_number": "405-473-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 SW 19TH ST STE G",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605406",
            "telephone_number": "405-794-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ORLANDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Depot of Moore, PLLC
• Dental Depot Orthodontics Moore, PLLC
• Dental Professionals of Oklahoma, PC
• Dentists of Moore and Orthodontics
• Areaunna Detweiler
• Andrew Dieckmann, PT, DPT, LAT, ATC
• Mary Grace Difuntorum, APRN, FNP
• Ian Digby
• Leslie Dillard, LADC/ LPC CANDIDATES
• Distinctive Adolescent and Adult Guidance Counseling Services

• Optometrist in Moore, OK
• Providers in Moore, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.