Diana Arredondo, OD
Individual provider Active NPI Optometrist · Saint Paul, MN
NPI 1821782913 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1821782913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3921 (MN)
- Practice address
- 409 Dunlap St N
Saint Paul, MN 55104-4201 - Phone
- (651) 290-9200
- Fax
- (651) 251-5950
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Open Cities Health Center Inc
Practice addresses (Care Compare)
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9211
916 Rice St
Saint Paul, MN 55117-5425
Phone (651) 290-9211
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240830000072 | MN | Practitioner - Optometry | 5597125872 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3921 | MN | MD | Optometrist |
| ODTA00573 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Cities Health Center, Inc. | Current |
Accepting new patients | |
| Open Cities Health Center, Inc. | Current | Accepting new patients | |
| Open Cities Health Center, Inc. | Current |
Accepting new patients |
Locations
409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200
916 Rice St
Saint Paul, MN 55117
Phone (651) 251-5993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTA00573 | RI | |
| Optometrist | 152W00000X | 3921 | MN | Yes |
Addresses
Primary practice location
409 Dunlap St N
Saint Paul, MN 55104-4201
Mailing address
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9200
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.