Organization Active NPI

Diana J Donch OD PC

  • Optometrist
  • Cochranton, PA
National Provider Identifier
1922338433
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000457 Issued in PA
Legal business name
DIANA J DONCH OD PC
Practice address
146 W Adams St
Cochranton, PA 16314-8640
Phone
(814) 425-3937
Fax
(814) 425-3378
NPI assigned
Jan 5, 2010
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Diana Jo Donch, O.D.
Title
Optometrist
Phone
(814) 425-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000457 PA Primary

Addresses

Primary practice location

146 W Adams St
Cochranton, PA 16314-8640

Mailing address

146 W Adams St
PO Box 392
Cochranton, PA 16314-8640
Phone (814) 425-3937

Other identifiers 1

IdentifierTypeStateIssuer
0019511200001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000112 PA Part B Supplier - Clinic/Group Practice 8426192840 Receives reassigned benefits from 1 practitioner
Practice locations: Cochranton, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1922338433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W ADAMS ST",
            "address_2": "PO BOX 392",
            "city": "COCHRANTON",
            "state": "PA",
            "postal_code": "163148640",
            "telephone_number": "814-425-3937",
            "fax_number": "814-425-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W ADAMS ST",
            "city": "COCHRANTON",
            "state": "PA",
            "postal_code": "163148640",
            "telephone_number": "814-425-3937",
            "fax_number": "814-425-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA J DONCH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "DONCH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-425-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019511200001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cochranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.