Active NPI
Diane Elaine Reddin, O.D.
- Vision Therapy Optometrist
- Hotchkiss, CO
National Provider Identifier
1427032440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 1335
- Practice address
- 210 E. Bridge St.
Hotchkiss, CO 81419 - Phone
- (970) 872-2020
- NPI assigned
- Dec 2, 2005
- Last updated
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | 1335 | CO | Primary |
Addresses
Primary practice location
210 E. Bridge St.
Hotchkiss, CO 81419
Mailing address
PO Box 658
Hotchkiss, CO 81419-0658
Phone (970) 872-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60733837 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1335 | CO | MD | Specialist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba North Fork Vision Center, PC
- Optometrist
- Hotchkiss, CO
- NPI 1811102759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1427032440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "HOTCHKISS",
"state": "CO",
"postal_code": "814190658",
"telephone_number": "970-872-2020",
"fax_number": "970-872-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E. BRIDGE ST.",
"city": "HOTCHKISS",
"state": "CO",
"postal_code": "81419",
"telephone_number": "970-872-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDIN",
"first_name": "DIANE",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CO",
"license": "1335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60733837",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hotchkiss, CO
- North Fork Ambulance Service Association Inc (North Fork Ambulance Assn)
- North Fork Psychological Associates
- North Fork Vision Center Inc (North Fork Vision Center, PC)
- Arti Francis Pelton, PHARMD
- Rachel's Hope (Wellspring Vitality)
- Nicholas Sampalis, DMD
- Max Dennis Scholle, M.D.
- Southwest Colorado Mental Health Center Inc (Axis Health System)
- Southwest Colorado Mental Health Center Inc
- Southwest Colorado Mental Health Center, Inc (Axis Health System)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.