National Provider Identifier Database

DANIEL J DIETERICHS, OD – NPI #1407867245
Optometrist

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.


Contact Information

DANIEL J DIETERICHS, OD
3701 EUBANK BLVD NE
ALBUQUERQUE, NM87111-3536
Phone: 505-298-2020
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DANIEL J DIETERICHS

NPI Number 1407867245
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/10/2006
Last updated 02/26/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 390
  • NM Medicaid: 000E8983
  • NM Other: NM00P502 BLUE CROSS AND BLUE SHIEL
  • NM Other: 4991500001 DMERC
  • NM Other: 201014237 PRESBYTERIAN NEW MEXICO
  • NM Other: DA6066 RAILROAD MEDICARE GROUP
  • NM Other: 410049648 RAILROAD MEDICARE INDIVID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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