Active NPI
Diana Pallini, OD
- Optometrist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0003454
- Practice address
- 3625 Star Ranch Rd
Colorado Springs, CO 80906-5980 - Phone
- (719) 394-3939
- Fax
- (719) 394-3939
- NPI assigned
- Jun 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003454 | CO | Primary |
| Optometrist | 152W00000X | 9517 | TX |
Addresses
Primary practice location
3625 Star Ranch Rd
Colorado Springs, CO 80906-5980
Mailing address
5454 Campglen Dr
Colorado Springs, CO 80906-7632
Phone (174) 556-8488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 Star Ranch Rd
Colorado Springs, CO 80906-5980
Phone 71939439392003
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9517 | TX | MD | Chiropractor |
| OPT.0003454 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak View Optometry South, PLLC | Optometrist | Current | Accepting new patients |
| Peak View Optometry Fort Carson, LLC | Optometrist | Current | Accepting new patients |
| Peak View Optometry Peterson, PLLC | Optometrist | Current | Accepting new patients |
| Bauer Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Peak View Optometry North, PLLC | Optometrist | Current | Accepting new patients |
Locations
5885 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 591-3009
353 N Academy Blvd
Colorado Springs, CO 80909
Phone (719) 559-2020
7190 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 559-2020
1030 E Stewart Ave
Bldg 20
Colorado Springs, CO 80914
Phone (719) 574-5252
5050 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 264-5010
3625 Star Ranch Rd
Colorado Springs, CO 80906
Phone (719) 394-3939
6110 Martinez St
Ft Carson, CO 80913
Phone (719) 368-2446
1030 E Stewart Ave
Bldg 2017
Peterson AFB, CO 80914
Phone (719) 574-5252
Organizations & group practices 5
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.
-
- Optometrist
- Colorado Springs, CO
- NPI 1538708052
-
- Optometrist
- Fort Carson, CO
- NPI 1194327148
-
- Optometrist
- Colorado Springs, CO
- NPI 1568064541
-
- Optometrist
- Colorado Springs, CO
- NPI 1720680770
-
- Optometrist
- Colorado Springs, CO
- NPI 1558963504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1821583261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 CAMPGLEN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067632",
"telephone_number": "174-556-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 STAR RANCH RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809065980",
"telephone_number": "719-394-3939",
"fax_number": "719-394-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLINI",
"first_name": "DIANA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003454",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "9517",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.