NPIMap

Organization Active NPI

Palombi Vision Center PC

  • Primary Care Clinic/Center
  • Wentzville, MO
National Provider Identifier
1528378437
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
T02651 Issued in MO
Legal business name
PALOMBI VISION CENTER PC
Practice address
1155 Wentzville Pkwy
Suite 119
Wentzville, MO 63385-3476
Phone
(636) 639-9422
Fax
(636) 639-6713
NPI assigned
Oct 13, 2010
Last updated
Oct 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Diane Lynn Palombi, O.D.NPI 1811948813
Title
President
Phone
(636) 639-9422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X T02651 MO Primary

Addresses

Primary practice location

1155 Wentzville Pkwy
Suite 119
Wentzville, MO 63385-3476

Mailing address

1155 Wentzville Pkwy
Suite 119
Wentzville, MO 63385-3476
Phone (636) 639-9422

National Provider Directory

National Provider Directory

Locations

1155 Wentzville Pkwy
Ste 119
Wentzville, MO 63385
Phone (636) 639-9422

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1528378437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY",
            "address_2": "SUITE 119",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY",
            "address_2": "SUITE 119",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOMBI VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "PALOMBI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-639-9422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "T02651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.