Courtney Irene Diaz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6378 Issued in OH

Practice address

926 N 21St St
Newark, OH 43055-2920

Phone

(740) 366-7341

NPI assigned

Jun 12, 2015

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Irene Hammond Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Vision Care of Mount Vernon IncGroup PAC ID 1850645102, 3 clinicians

Mark D Henry OD IncGroup PAC ID 8224926415, 2 clinicians

Primary Vision Care IncGroup PAC ID 3173556578, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mark D Henry OD Inc

  dba Primary Vision Care

  • Optometrist
  • Lancaster, OH
  • NPI 1093895690
  Medicare reassignment Care Compare group NPD
• Primary Vision Care Inc

  • Optometrist
  • Newark, OH
  • NPI 1558371153
  Medicare reassignment Care Compare group NPD
• Primary Vision Care of Mount Vernon Inc

  • Optometrist
  • Mount Vernon, OH
  • NPI 1801329180
  Medicare reassignment Care Compare group NPD
• Primary Vision Care of Mount Vernon Inc

  dba Primary Vision Care

  • Optometrist
  • Waynesville, OH
  • NPI 1194340943
  NPD
• Primary Vision Care of Mount Vernon Inc

  • Optometrist
  • Wilmington, OH
  • NPI 1720633209
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1760863047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552920",
            "telephone_number": "740-366-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N 21ST ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552920",
            "telephone_number": "740-366-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "COURTNEY",
        "middle_name": "IRENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HAMMOND",
            "middle_name": "IRENE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James W Desapri
• Frances L. Deutschle, MSW, LISW
• Kaylin Sarah Dewese, BSW, LSW
• Sophyah Diack
• Kathleen Mary Diamond
• Steven Alan Dickerson
• Katlin Lurinda Dickinson
• Krista Dickinson
• Brittany Dillon, SWT
• Sarah Dillon

• Optometrist in Newark, OH
• Providers in Newark, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• 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.

Verify at the official NPI Registry.