Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lu'Aie Husam Dia, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194576215

Lu'Aie Husam Dia, STUDENT is an Optometry in Tahlequah, Oklahoma. Graduated from Pacific University - College of Optometry in 2024, 2 years ago. Practices with Gillette Optometric Clinic PC, a 6-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Trained at
Pacific University - College of Optometry
Licensed in
OK
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1001 N Grand Ave
Tahlequah, OK 74464-7017
Phone: (918) 444-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3257 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194576215
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Gillette Optometric Clinic Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tahlequah