Diane Lynn Palombi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02651 Issued in MO

Practice address

1155 Wentzville Pkwy
Suite 119
Wentzville, MO 63385-3476

Phone

(636) 639-9422

Fax

(636) 639-6713

NPI assigned

May 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Midwest Eye Associates, Inc.

  • Optometrist
  • Saint Charles, MO
  • NPI 1215159504
  NPD (past)

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1811948813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY",
            "address_2": "SUITE 119",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WENTZVILLE PKWY",
            "address_2": "SUITE 119",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853476",
            "telephone_number": "636-639-9422",
            "fax_number": "636-639-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBI",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-14",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy E Outman
• Jonathan Cooper Owens, D.C.
• P.W. Deschamp LTD. (Dr. P.W. Deschamp D.C.)
• Phillip Palmer
• Palombi Vision Center PC
• Belinda B Pankoff
• Aarti Parekh
• Siniski Pargo-Oduwole
• Parklane Care and Rehabilitation Center Inc (Parklane Care and Rehabilitaton Center Inc)
• Marilyn Parsons, PLPC

• Optometrist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.