Active NPI
Elaine Osa Diamond-Ford, O.D.
- Optometrist
- Lowell, MA
National Provider Identifier
1801904651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3036
- Practice address
- Cboc-Lowell
130 Marshall Road
Lowell, MA 01852-5130 - Phone
- (978) 671-9126
- NPI assigned
- Aug 29, 2006
- 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 | 3036 | MA | Primary |
Addresses
Primary practice location
Cboc-Lowell
130 Marshall Road
Lowell, MA 01852-5130
Mailing address
10 Dewey Rd
Lexington, MA 02420-1018
Phone (781) 674-2329
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3036 | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801904651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DEWEY RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201018",
"telephone_number": "781-674-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CBOC-LOWELL",
"address_2": "130 MARSHALL ROAD",
"city": "LOWELL",
"state": "MA",
"postal_code": "018525130",
"telephone_number": "978-671-9126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND-FORD",
"first_name": "ELAINE",
"middle_name": "OSA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.