Provider Demographics
NPI:1437155082
Name:CATANIA, DIANE B (OD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:B
Last Name:CATANIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 CARRIAGE CT
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1766
Mailing Address - Country:US
Mailing Address - Phone:610-308-2212
Mailing Address - Fax:215-256-3090
Practice Address - Street 1:199 CARRIAGE CT
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1766
Practice Address - Country:US
Practice Address - Phone:610-308-2212
Practice Address - Fax:215-256-3090
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002443152WL0500X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA007032060002Medicaid
PAP00260198OtherRAILROAD MEDICARE
201619796OtherTRICARE
PA007032060002Medicaid
PAP00260198OtherRAILROAD MEDICARE