DR. DIANE MARIE REDDING (OD) – Optometrist, NPI 1487836334

DR. DIANE MARIE REDDING (OD) is a healthcare provider. based in Cordova, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2536 (TN). The NPI Number for DR. DIANE MARIE REDDING (OD) is 1487836334

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIANE MARIE REDDING (OD)
NPI
1487836334
Phone
(901) 755-9045
Address
577 N GERMANTOWN PKWY
Enumeration Date
3 December 2007
Last Update Date
3 December 2007

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9017424079
Graduation Year
2004 (22 years ago)
PAC ID
8022595289
Group Practice PAC ID
1759646995
Professional Enrollment ID
I20260120002520
Address ID
TN380029937AR5224XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

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Provider Addresses for DR. DIANE MARIE REDDING (OD)

  • Walmart Supercenter, 577, North Germantown Parkway, Cordova, Memphis, Shelby County, Tennessee, 38018, United States

    CORDOVA, TN 380186211

    Phone: (901) 755-9045

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-01-20

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
I20260120002520IOptometryTNTBD

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.

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

Insurance plans in this area (ZIP 38018)

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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: 1759646995View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YVA
O P T O M E T R YTN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DIANE MARIE REDDING (OD)'s NPI?
Yes. DR. DIANE MARIE REDDING (OD) is listed with NPI 1487836334 in the public NPI dataset.
Can I rely on DR. DIANE MARIE REDDING (OD) being an active provider?
As of the registry snapshot, DR. DIANE MARIE REDDING (OD) is marked active.
What taxonomy line describes DR. DIANE MARIE REDDING (OD)?
For research purposes, treat DR. DIANE MARIE REDDING (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. DIANE MARIE REDDING (OD) based?
DR. DIANE MARIE REDDING (OD) is tied to Cordova, Tennessee in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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