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DR. DIANE SHAHARA JAMOUA O.D.
NPI 1740620376
Optometrist in Grandville, MI

Active since June 27, 2013PECOS Enrolled
4555 WILSON AVE SW, GRANDVILLE, MI 49418(616) 249-8490(616) 249-3129 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Jan 10, 2018 (2 updates tracked since 2018).

About Dr. Diane Shahara Jamoua O.d. NPPES

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

DR. DIANE SHAHARA JAMOUA O.D. (NPI 1740620376) is an individual optometrist in Grandville, Michigan, licensed in Michigan (4901004760) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740620376
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. DIANE SHAHARA JAMOUACredential: O.D.
Location Address4555 WILSON AVE SWGrandville, MI 49418-2370
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(616) 249-8490
Fax(616) 249-3129
Sole ProprietorYes
Enumeration DateJune 27, 2013
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1740620376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004760
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.
4555 WILSON AVE SW, Grandville, MI 49418
Open in Google Maps ↗

Other Identifiers 1

Medicaid1740620376MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diane Shahara Jamoua O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49418 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 8

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

DR. DANIEL WILLIAM BROWN D.C.
Chiropractor
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 534-7503
DR. PAIGE NEAL O.D.
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
RX OPTICAL LABORATORIES, INC.
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
MS. SARAH SULLIVAN OD
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
ALANA MARIE TERBUSH OD
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
MRS. SHERAH JANETTE EAVEY OD
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
MYEYEDR OPTOMETRY OF MICHIGAN, LLC
Optometrist
4555 WILSON AVE SW
GRANDVILLE, MI 49418
Kent County (616) 249-8490
GRANDVILLE CHIROPRACTIC CLINIC
Chiropractor
4555 WILSON AVE SW, SUITE 4
GRANDVILLE, MI 49418
Kent County (616) 534-7503

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 Diane Jamoua's NPI number?

The NPI number for Diane Jamoua is 1740620376. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Diane Jamoua located?

Diane Jamoua practices at 4555 Wilson Ave SW, Grandville, MI 49418. The listed phone number is (616) 249-8490.

What is Diane Jamoua's specialty?

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

Is Diane Jamoua enrolled in Medicare?

Yes. Diane Jamoua is registered in the Medicare PECOS enrollment system.

What insurance does Diane Jamoua accept?

Health plans from McLaren Health Plan Community list Diane Jamoua 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 Diane Jamoua was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.