Diane L Giffen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4840 Issued in OH

Practice address

250 Tallmadge Rd
Kent, OH 44240-7204

Phone

(330) 299-9650

Fax

(330) 299-9656

NPI assigned

Aug 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1891796207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1154",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442366354",
            "telephone_number": "216-548-8278",
            "fax_number": "330-299-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TALLMADGE RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442407204",
            "telephone_number": "330-299-9650",
            "fax_number": "330-299-9656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3265 W Market St Ste 632",
            "address_purpose": "LOCATION",
            "city": "Fairlawn",
            "state": "OH",
            "postal_code": "44333",
            "country_code": "US",
            "telephone_number": "330-664-9767",
            "fax_number": "330-664-9586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5320 Youngstown Warren Rd",
            "address_2": "Sears Optical, Eastwood Mall",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "OH",
            "postal_code": "444464904",
            "country_code": "US",
            "telephone_number": "330-299-9650",
            "fax_number": "330-299-9656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIFFEN",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2842357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Julia Kay Genovesi, AT, ATC
• Steve W Gensburg
• Amy L. Gibson, RN
• Chrystal G Gibson
• Nathaniel Gilbert, MD
• Danielle Marie Giles
• Amanda Gilmore, ED.S
• Jose A Giner III, RN
• Raymond J Gingo, D.C.

• All providers in Kent, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.