Active NPI
Diane Prather, OD, MPH
- Optometrist
- Fairfield, IA
National Provider Identifier
1871044545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2870T
- Practice address
- 2035 185TH St
Fairfield, IA 52556-9016 - Phone
- (641) 451-0240
- NPI assigned
- Oct 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2870T | TX | Primary |
Addresses
Primary practice location
2035 185TH St
Fairfield, IA 52556-9016
Mailing address
2035 185TH St
Fairfield, IA 52556-9016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2870T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1871044545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 185TH ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 185TH ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525569016",
"telephone_number": "641-451-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "OD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2870T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.