LU'AIE HUSAM DIA STUDENT
NPI 1194576215
Optometrist in Tahlequah, OK

Active since March 27, 2024PECOS EnrolledAccepts Medicare Assignment
1001 N GRAND AVE, TAHLEQUAH, OK 74464(918) 444-4031 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lu'aie Husam Dia Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LU'AIE HUSAM DIA STUDENT (NPI 1194576215) is an individual optometrist in Tahlequah, Oklahoma, licensed in Oklahoma (3257) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2024).

NPPES Registry Identity

NPI1194576215
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLU'AIE HUSAM DIACredential: STUDENT
Location Address1001 N GRAND AVETahlequah, OK 74464-7017
Mailing Address772 Ne Autumncreek Way Apt O208Hillsboro, OR 97006-8743 · (806) 674-7661
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2024
Enumeration DateMarch 27, 2024
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1194576215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 3257
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1001 N GRAND AVE, Tahlequah, OK 74464

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lu'aie Husam Dia Student is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315486628
PECOS Enrollment IDI20250131000788, I20250827004179
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE, NSU OKLAHOMA COLLEGE OF OPTOMETRY
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist
1001 N GRAND AVE
TAHLEQUAH, OK 74464
Optometrist (Low Vision Rehabilitation)
1001 N GRAND AVE
TAHLEQUAH, OK 74464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lu'aie Dia's NPI number?

The NPI number for Lu'aie Dia is 1194576215. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Lu'aie Dia located?

Lu'aie Dia practices at 1001 N Grand Ave, Tahlequah, OK 74464. The listed phone number is (918) 444-4031.

What is Lu'aie Dia's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lu'aie Dia enrolled in Medicare?

Yes. Lu'aie Dia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lu'aie Dia accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Lu'aie Dia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lu'aie Dia was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.