Active NPI
Diana E Dracopoulos, O.D.
- Optometrist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4054-35
- Practice address
- 315 N Broadway
Milwaukee, WI 53202-5879 - Phone
- (414) 253-1812
- NPI assigned
- Jan 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009479 | IL | |
| Optometrist | 152W00000X | 2469 | SC | |
| Optometrist | 152W00000X | 4054-35 | WI | Primary |
Addresses
Primary practice location
315 N Broadway
Milwaukee, WI 53202-5879
Mailing address
315 N Broadway
Milwaukee, WI 53202-5879
Phone (414) 253-1812
Other names 1
- Diana E Phillips Miranda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5255 State Route 251
Peru, IL 61354-1005
Phone (815) 224-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009479 | IL | MD | Optometrist |
| 4054-35 | WI | MD | Optometrist |
| 2469 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vep Il Optometric LLC | Optometrist | Current | Accepting new patients |
| Warby Parker Inc. | Past | Accepting new patients | |
| Oneopto Il 2 PLLC | Optometrist | Past | Accepting new patients |
Locations
101 N Veterans Pkwy
Ste 301
Bloomington, IL 61704
Phone (309) 663-2700
2201 Sycamore Rd
DeKalb, IL 60115
Phone (815) 754-2020
5255 State Route 251
Peru, IL 61354
Phone (815) 224-2700
4304 E Lincolnway
Ste D
Sterling, IL 61081
Phone (815) 626-2020
811 Main St
Kansas City, MO 64180
Organizations & group practices 3
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.
-
- Optometrist
- Bloomington, IL
- NPI 1528536620
-
- Eyewear Supplier
- Milwaukee, WI
- NPI 1952812091
-
- Optometrist
- Bloomington, IL
- NPI 1003788431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1639227176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N BROADWAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025879",
"telephone_number": "414-253-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N BROADWAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025879",
"telephone_number": "414-253-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRACOPOULOS",
"first_name": "DIANA",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009479",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2469",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "4054-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "PHILLIPS MIRANDA",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.