Provider Demographics
NPI:1679096200
Name:SETTLAGE, DIANNE LUCY (OD)
Entity Type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:LUCY
Last Name:SETTLAGE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:DIANNE
Other - Middle Name:LUCY
Other - Last Name:BOTEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7970 E THOMPSON PEAK PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7407
Mailing Address - Country:US
Mailing Address - Phone:480-874-3937
Mailing Address - Fax:
Practice Address - Street 1:7970 E THOMPSON PEAK PKWY STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7407
Practice Address - Country:US
Practice Address - Phone:480-874-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2224152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist