Diane Lea Papke, O.D.
Individual provider Active NPI Optometrist · Eldridge, IA
NPI 1487796017 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487796017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1690 (IA)
- Practice address
- 251 N 6TH Ave
Eldridge, IA 52748-1759 - Phone
- (563) 285-4001
- Fax
- (563) 285-6121
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1690 | IA | MD | Optometrist |
| 01690 | IA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chizek Family Eyecare Inc | Optometrist | Current |
Accepting new patients |
Locations
251 N 6th Ave
Eldridge, IA 52748
Phone (319) 285-4001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1690 | IA | Yes |
Addresses
Primary practice location
251 N 6TH Ave
Eldridge, IA 52748-1759
Mailing address
251 N 6TH Ave
Eldridge, IA 52748-1759
Phone (563) 285-4001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0161752 | Medicaid | IA |
Other names
- Diane Lea Cole
Other providers in Eldridge, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.