Individual provider Active NPI

Diana Hughes Dean

  • Optometrist
  • Columbia, MO
National Provider Identifier
1548212129
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006010743 Issued in MO
Practice address
1205 Grindstone Pkwy
Suite 113
Columbia, MO 65201
Phone
(573) 442-5725
Fax
(573) 442-5747
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2006010743 MO Primary

Addresses

Primary practice location

1205 Grindstone Pkwy
Suite 113
Columbia, MO 65201

Mailing address

1205 Grindstone Pkwy
Suite 113
Columbia, MO 65201-3755
Phone (573) 442-5725

Other identifiers 2

IdentifierTypeStateIssuer
2006010743OtherMOMO
18003368OtherUPIN PENDING

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

LicenseStateTypeSpecialty
2006010743MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Dr Tavel of Evansville, LLC Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1548212129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GRINDSTONE PKWY",
            "address_2": "SUITE 113",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013755",
            "telephone_number": "573-442-5725",
            "fax_number": "573-442-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRINDSTONE PKWY",
            "address_2": "SUITE 113",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-442-5725",
            "fax_number": "573-442-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES DEAN",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006010743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO",
            "identifier": "2006010743",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN PENDING",
            "identifier": "18003368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.