Individual provider Active NPI

Diana Szeming Ma, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1689839110
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007306 Issued in NY
Practice address
14008 Sanford Avenue
Flushing, NY 11355-3891
Phone
(718) 353-3211
Fax
(718) 353-3212
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007306 NY Primary

Addresses

Primary practice location

14008 Sanford Avenue
Flushing, NY 11355-3891

Mailing address

14008 Sanford Ave
Flushing, NY 11355-2683
Phone (718) 353-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000511 NY Practitioner - Optometry 0749330231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007306NYMDOptometrist
007306NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Consultants, LLC CurrentSince May 17, 2012 Accepting new patients

Organizations & group practices 1

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1689839110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552683",
            "telephone_number": "718-353-3211",
            "fax_number": "718-353-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553891",
            "telephone_number": "718-353-3211",
            "fax_number": "718-353-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "DIANA",
        "middle_name": "SZEMING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.