Diane Lea Papke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1690 Issued in IA

Practice address

251 N 6TH Ave
Eldridge, IA 52748-1759

Phone

(563) 285-4001

Fax

(563) 285-6121

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Other names 1

• Diane Lea Cole Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chizek Family Eyecare Inc

  dba Advanced Eyecare

  • Optometrist
  • Eldridge, IA
  • NPI 1154818847
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487796017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N 6TH AVE",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481759",
            "telephone_number": "563-285-4001",
            "fax_number": "563-285-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N 6TH AVE",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481759",
            "telephone_number": "563-285-4001",
            "fax_number": "563-285-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPKE",
        "first_name": "DIANE",
        "middle_name": "LEA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161752",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "COLE",
            "middle_name": "LEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Eldridge, IA
• Providers in Eldridge, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.