Individual provider Active NPI

Diane Marie Dingman, OD

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1922032887
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT0067991 Issued in NY
Practice address
5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone
(315) 422-4412
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT0067991 NY Primary

Addresses

Primary practice location

5792 Widewaters Pkwy
Syracuse, NY 13214-1847

Mailing address

5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone (315) 422-4412

Other names 1

  • Mrs. Diane Marie Davenport Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040908000964 NY Practitioner - Optometry 8426024720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Syracuse, PCGroup PAC ID 5496787038, 6 clinicians

Practice addresses (Care Compare)

5792 Widewaters Pkwy
Suite 101
Syracuse, NY 13214-1847
Phone (315) 422-4412

806 W Broadway
Suite 3
Fulton, NY 13069-1528
Phone (315) 592-2444

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
97.06
Improvement activities
40
Cost
48.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT0067991NYMDOptometrist
006799NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Syracuse PC Optometrist CurrentSince Nov 14, 2011 Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Eye Consultants of Syracuse PC PastSince Jun 4, 2023 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

806 W Broadway
Ste 3
Fulton, NY 13069
Phone (315) 592-2444

5792 Widewaters Pkwy
Ste 101
Syracuse, NY 13214
Phone (315) 385-7862

5792 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 295-3937

Interoperability endpoints

  • Direct secure messaging: drdingman@eye-consultants.medentdirect.com

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1922032887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-422-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-422-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGMAN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0067991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DAVENPORT",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.