NPI 1699778621 · live from the CMS NPI Registry
Michelle Diaz, O.D.
Optometrist in Kittery, ME. National Provider Identifier 1699778621, active.
NPI record
| NPI | 1699778621 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 99 Us Route 1 Byp, Kittery, ME 03904 |
| Practice phone | 207-439-0410 |
| Mailing address | 99 Us Route 1 Byp Ste A, Kittery, ME 03904 |
| Enumerated | May 23, 2005 |
| Last updated | June 4, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 0594 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.