Active NPI
Diana Driscoll
- Optometrist
- Colleyville, TX
National Provider Identifier
1659707883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3527TG
- Practice address
- 710 Centerpark Dr Ste 120
Colleyville, TX 76034-2850 - Phone
- (866) 349-9905
- Fax
- (817) 809-6910
- NPI assigned
- Sep 19, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3527TG | TX | Primary |
Addresses
Primary practice location
710 Centerpark Dr Ste 120
Colleyville, TX 76034-2850
Mailing address
1468 Sandhill CT
Keller, TX 76262-4800
Phone (682) 444-1195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3527 | TX | MD | Marriage & Family Therapist |
| 3527TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1659707883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 SANDHILL CT",
"city": "KELLER",
"state": "TX",
"postal_code": "762624800",
"telephone_number": "682-444-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 CENTERPARK DR STE 120",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760342850",
"telephone_number": "866-349-9905",
"fax_number": "817-809-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3527TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colleyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.