Provider Demographics
NPI:1144635624
Name:DOAN, DIANNE (OD)
Entity type:Individual
Prefix:DR
First Name:DIANNE
Middle Name:
Last Name:DOAN
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 1:7750 N MACARTHUR BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7524
Mailing Address - Country:US
Mailing Address - Phone:972-401-0008
Mailing Address - Fax:
Practice Address - Street 1:7750 N MACARTHUR BLVD STE 180
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7524
Practice Address - Country:US
Practice Address - Phone:972-401-0008
Practice Address - Fax:972-401-1630
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8382TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist