Active NPI
Dianne M Anderson, O.D.
- Optometrist
- Downers Grove, IL
National Provider Identifier
1881766046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 46008380
- Practice address
- 1327 Butterfield Rd
618
Downers Grove, IL 60515-1078 - Phone
- (630) 322-8300
- NPI assigned
- Nov 14, 2006
- Last updated
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 46008380 | IL | Primary |
Addresses
Primary practice location
1327 Butterfield Rd
618
Downers Grove, IL 60515-1078
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008380 | Medicaid | IL |
Other names 1
- Dianne Scurrio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46008380 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva Eye Clinic LTD | Current | Accepting new patients |
Locations
1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1881766046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 BUTTERFIELD RD",
"address_2": "618",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151078",
"telephone_number": "630-322-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DIANNE",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "46008380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008380",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNE",
"last_name": "SCURRIO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.