DR. MICHELLE DIAZ (NPI# 1699778621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699778621 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE DIAZ |
| Credential | O.D. |
| Practice Address |
99 Us Route 1 Byp Kittery ME 03904 |
| Mailing Address |
99 Us Route 1 Byp Ste A Kittery ME 03904-1792 |
| Practice Telephone | 2074390410 |
| Practice Fax Number | 2074398353 |
| Mailing Telephone | 0724390410 |
| Mailing Fax Number | 2074398353 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0594 | NH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | HARVARD | AA549786 | 01 |
| NH | 30009844 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447469 | Michelle Diaz | Counselor | 3309 N Oconto Ave, Chicago, IL 60634-3536 | 2019-10-04 |
| 1699287292 | Michelle N Diaz | Occupational Therapy Assistant | 4523 Robertson St, Houston, TX 77009-3439 | 2017-11-04 |
| 1548883663 | Michelle Diaz | Case Manager/Care Coordinator | 1436 Goodrich Blvd, Commerce, CA 90022-5111 | 2020-05-22 |
| 1033773254 | Michelle Beth Diaz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2019-04-23 |
| 1003376310 | Michelle Ashley Diaz | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2019-03-22 |
| 1255847422 | Michelle Diaz | Counselor | 4209 W Shamrock Ln, Mchenry, IL 60050-8700 | 2017-12-23 |
| 1225489917 | Michelle Diaz | Registered Nurse | 1800 Mercy Dr, Orlando, FL 32808-5646 | 2016-06-24 |
| 1003286220 | Michelle Diaz | Behavioral Analyst | 3520 Oaks Way, #904, Pompano Beach, FL 33069-5391 | 2015-09-30 |
| 1881097111 | Michelle Diaz | Social Worker | 9704 Sutphin Blvd, Jamaica, NY 11435 | 2014-10-01 |
| 1841601762 | Michelle Diaz | Behavioral Analyst | 11755 Sw 90th St, Ste 210, Miami, FL 33186-2177 | 2014-05-13 |
| Street Address |
99 US ROUTE 1 BYP |
| City | KITTERY |
| State | ME |
| Zip Code | 03904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033341029 | Isabel Alonso Zieja | Optometrist | 99 Us Route 1 Byp, Ste A, Kittery, ME 03904-1792 | 2009-08-10 |
| 1982768743 | Thurston Olaf Monson II | Ophthalmology | 99 Us Route 1 Byp, Suite B, Kittery, ME 03904-1570 | 2006-12-19 |
| 1225124878 | David W Seaton | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-04 |
| 1588759112 | Karen D Healy | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1851486351 | Stanley L Shapleigh | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1124113618 | Kevin M Webb | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1447343926 | Kittery Optometric Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-02 |
| 1083707582 | John David Higgins | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396291878 | Rae Lynn Stackpoole | Occupational Therapist | 518 Us Route 1 # 14&16, Kittery, ME 03904 | 2016-08-25 |
| 1457713117 | Nathaniel John Irvine | General Practice | Naval Branch Health Clinic Portsmouth, 1 Ayres Circle, Portsmouth, NH 03904 | 2016-03-22 |
| 1245508217 | Sabrina Blackwell | Physician Assistant | One Ayres Circle, Bldg H-1, Pns, Kittery, ME 03904 | 2011-12-06 |
| 1538455431 | Conant Associates LLC | Counselor | 435 Rt 1, Suite 2, Kittery, ME 03904 | 2011-06-20 |
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1144468968 | Wende Pediatrics | Pediatrics | 518 Us Route 1, Suite A-7, Kittery, ME 03904 | 2009-02-02 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1497968358 | Alice Gansecki Meattey | Acupuncturist | 74 State Road, Suite Number 201, Kittery, ME 03904 | 2007-05-08 |
| 1154473643 | Yuri Belopolsky | Acupuncturist | 30 1/2 George St., Kittery, ME 03904 | 2007-01-17 |
| Find all providers in zip 03904 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275852055 | Tyler James Lowe | Optometrist | 99 Route 1 Bypass, Suite A, Kittery, ME 03904 | 2010-05-19 |
| 1033341029 | Isabel Alonso Zieja | Optometrist | 99 Us Route 1 Byp, Ste A, Kittery, ME 03904-1792 | 2009-08-10 |
| 1225124878 | David W Seaton | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-04 |
| 1588759112 | Karen D Healy | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1851486351 | Stanley L Shapleigh | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1124113618 | Kevin M Webb | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-03 |
| 1083707582 | John David Higgins | Optometrist | 99 Us Route 1 Byp, Suite A, Kittery, ME 03904-1570 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689235160 | Maja Krsmanovic | Optometrist | 14 Buca Run, Portland, ME 04103-1427 | 2019-06-25 |
| 1306405089 | David Gandelman | Optometrist | 41 Premier Dr Apt 210, Lisbon, ME 04250-6086 | 2019-06-06 |
| 1265995674 | Vision Care of Maine Aroostook, LLC | Optometrist | 9 Katahdin Ln, Houlton, ME 04730-3573 | 2019-04-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| 1952765356 | Alyssa Verrill | Optometrist | 29 Dirigo Dr, Brewer, ME 04412-1600 | 2016-04-12 |
| 1730564618 | Luke Cyr | Optometrist | 35 State Hospital Druve, Eye Clinic, Bangor, ME 04401 | 2015-07-21 |
| 1215334248 | Eyecare Today, Pa | Optometrist | 449 Forest Ave Ste 8, Portland, ME 04101-2008 | 2014-11-19 |
| 1518363522 | Precision Eye Care Pa | Optometrist | 29 Military St, Suite B, Houlton, ME 04730-1713 | 2014-11-18 |
| 1306272406 | Ethan Ranger Taylor | Optometrist | 824 Stillwater Avenue, Bangor, ME 04401-3614 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.