DR. DIANA MARIE DOUGLAS (O.D.) – Optometrist, NPI 1144452459

DR. DIANA MARIE DOUGLAS (O.D.) is a healthcare provider. based in Warren, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1979 (NC). The NPI Number for DR. DIANA MARIE DOUGLAS (O.D.) is 1144452459

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANA MARIE DOUGLAS (O.D.)
NPI
1144452459
Phone
(330) 856-6113
Address
8133 E MARKET ST
Enumeration Date
20 August 2009
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3303942020
Graduation Year
1999 (27 years ago)
PAC ID
1850438748
Group Practice PAC ID
5496892382
Professional Enrollment ID
I20091026000545
Address ID
OH444841940WA302XXNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. DIANA MARIE DOUGLAS (O.D.)

  • East Market Street, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444842256

    Phone: (330) 856-6113

    Type: Mailing

  • 1955 CELESTIAL DR NE

    WARREN, OH 444843982

    Phone: (330) 980-9067

    Type: Location

  • 302 NILES CORTLAND RD NE

    WARREN, OH 444841940

    Phone: (330) 394-2020

    Fax: (330) 395-7194

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $477.

Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: CooperVision Inc. ($262).

Total Amount

$477

General + Research + Ownership

Payments

14

Total payment records

General Amount

$477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2009-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (927 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20091026000545IOptometryOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44484)

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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: 5496892382View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the standard ID for DR. DIANA MARIE DOUGLAS (O.D.) in the U.S.?
In the U.S., DR. DIANA MARIE DOUGLAS (O.D.) is identified by NPI 1144452459.
Should I treat DR. DIANA MARIE DOUGLAS (O.D.) as an active provider?
Patients and plans typically see DR. DIANA MARIE DOUGLAS (O.D.) as active in the national extract.
What services align with DR. DIANA MARIE DOUGLAS (O.D.)'s listing?
DR. DIANA MARIE DOUGLAS (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. DIANA MARIE DOUGLAS (O.D.) tied to Warren, Ohio?
If you are local to Warren, Ohio, DR. DIANA MARIE DOUGLAS (O.D.) may be relevant to your search.
Can I export DR. DIANA MARIE DOUGLAS (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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