DR. MICHELLE DIAZ (O.D.) – Optometrist, NPI 1699778621

DR. MICHELLE DIAZ (O.D.) is a healthcare provider. based in Kittery, Maine. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0594 (NH). The NPI Number for DR. MICHELLE DIAZ (O.D.) is 1699778621

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE DIAZ (O.D.)
NPI
1699778621
Phone
(072) 439-0410
Address
99 US ROUTE 1 BYP STE A
Enumeration Date
23 May 2005
Last Update Date
4 June 2018

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2074390410
Graduation Year
1991 (35 years ago)
PAC ID
0840241766
Group Practice PAC ID
7719059393
Professional Enrollment ID
I20170816000881
Address ID
ME039041570KI99XXXBYPX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

219 OPTOMETRY in ME

Provider Addresses for DR. MICHELLE DIAZ (O.D.)

  • 99 US ROUTE 1 BYP STE A

    KITTERY, ME 039041792

    Phone: (072) 439-0410

    Fax: (207) 439-8353

    Type: Mailing

  • 99 US ROUTE 1 BYP

    KITTERY, ME 03904

    Phone: (207) 439-0410

    Fax: (207) 439-8353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($107).

Total Amount

$195

General + Research + Ownership

Payments

2

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170816000881IOptometryMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system216215$0
99212Established patient office or other outpatient visit, 10-19 minutes123101$0
92012Established patient problem focused exam of visual system120120$0
92134Imaging of retina5652$0
92133Imaging of optic nerve4742$0
View full utilization report →

Insurance plans in this area (ZIP 03904)

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Provider's Procedures

DR. MICHELLE DIAZ (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYNH92012Eye and medical examination for diagnosis and treatment, established patient162159
OPTOMETRYNH92083Measurement of field of vision during daylight conditions1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719059393View full group profile
NameSpecialtyState
O P T O M E T R YME
O P T O M E T R YME
-ME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YME
O P T O M E T R YPA
O P T O M E T R YNH

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHELLE DIAZ (O.D.)'s NPI?
Yes. DR. MICHELLE DIAZ (O.D.) is listed with NPI 1699778621 in the public NPI dataset.
Is DR. MICHELLE DIAZ (O.D.) still practicing?
DR. MICHELLE DIAZ (O.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. MICHELLE DIAZ (O.D.)?
For research purposes, treat DR. MICHELLE DIAZ (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MICHELLE DIAZ (O.D.) based?
DR. MICHELLE DIAZ (O.D.) is tied to Kittery, Maine in the data we show; additional addresses may exist on the full record.
Why does DR. MICHELLE DIAZ (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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99, State Road, Kittery Foreside, Kittery, York County, Maine, 03904, United States
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