Organization Active NPI

Douglas Family Eyecare, Inc.

  • Optometrist
  • Warren, OH
National Provider Identifier
1396978573
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5534 Issued in OH
Legal business name
DOUGLAS FAMILY EYECARE, INC.
Practice address
302 Niles Cortland Rd NE
Warren, OH 44484-1940
Phone
(330) 394-2020
Fax
(330) 395-7194
NPI assigned
Sep 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Diana Marie Douglas, O.D.NPI 1144452459
Title
Dr. of Optometry
Phone
(330) 394-2020

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 5534 OH Primary

Addresses

Primary practice location

302 Niles Cortland Rd NE
Warren, OH 44484-1940

Mailing address

302 Niles Cortland Rd NE
Warren, OH 44484-1940
Phone (330) 394-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091026000528 OH Part B Supplier - Clinic/Group Practice 5496892382 Receives reassigned benefits from 3 practitioners
Practice locations: Warren, OH

National Provider Directory

National Provider Directory

Locations

5000 E Market St
Ste 5
Warren, OH 44484
Phone (330) 984-8795

Practitioners & affiliated clinicians

Practitioners 3

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": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1396978573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841940",
            "telephone_number": "330-394-2020",
            "fax_number": "330-395-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841940",
            "telephone_number": "330-394-2020",
            "fax_number": "330-395-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS FAMILY EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DR. OF OPTOMETRY",
        "authorized_official_telephone_number": "330-394-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.