Individual provider Active NPI

Diana Pallini, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1821583261
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0003454 Issued in CO
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

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003454 CO Primary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001809 CO Practitioner - Optometry 9234482597 Reassigns benefits to 3 organizations

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
Bauer Eyecare PLLCGroup PAC ID 0749618544, 2 clinicians

Practice addresses (Care Compare)

3625 Star Ranch Rd
Colorado Springs, CO 80906-5980
Phone 71939439392003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9517TXMDChiropractor
OPT.0003454COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak View Optometry South, PLLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Peak View Optometry Fort Carson, LLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Peak View Optometry Peterson, PLLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Bauer Eyecare PLLC Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Peak View Optometry North, PLLC Optometrist CurrentSince Feb 9, 2021 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.

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

Verify at the official NPI Registry.