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DR. DIANE SEREX-DOUGAN O.D. NPI 1154300309


NPI Information

NPI: 1154300309
Provider Name: DR. DIANE SEREX-DOUGAN, O.D.
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
7954 HARFORD RD
BALTIMORE, MD
ZIP 21234
Phone: (443) 629-5459
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DR. Diane Serex-dougan, O.D. is a pediatrics optometrist in Baltimore, MD with 43 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Diane Serex-dougan, O.D. NPI is 1154300309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:1981

The provider's business location address is:

7954 HARFORD RD
BALTIMORE, MD
ZIP 21234-838
Phone: (443) 629-5459

The NPI 1154300309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 1/14/2006 and was last updated on 8/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WV0400XOptometristVision TherapyTA849MARYLANDNo
2152WP0200XOptometristPediatricsTPA0849MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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