Provider Demographics
NPI:1316906050
Name:CARRIGER, DIANA LIU (OD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:LIU
Last Name:CARRIGER
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 1:1001 SW MULVANE ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1419
Mailing Address - Country:US
Mailing Address - Phone:785-234-3937
Mailing Address - Fax:785-234-1577
Practice Address - Street 1:1001 SW MULVANE ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1419
Practice Address - Country:US
Practice Address - Phone:785-234-3937
Practice Address - Fax:785-234-1577
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1065-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS410048252OtherRAILROAD MEDICARE
KS410048252OtherRAILROAD MEDICARE
KS0599730002Medicare NSC
KSMC0304105OtherDEA
KS049702Medicare PIN
KS0599730001Medicare NSC
KS515480Medicare PIN