Individual
MRS. DIANE ELAINE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 333-1911
(812) 404-1072
Mailing address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 333-1911
(812) 333-1602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002480
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200892700
—
IN
Enumeration date
07/05/2006
Last updated
10/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us