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Contact Information

DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.
837 W CASTILLO AVE
BELEN, NM87002-3123
 Phone: 505-864-8992
 Fax: 505-864-8737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR DANIEL J DIETERICHS OPTOMETRISTS PC · (Female)

NPI Number 1518147602
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2007
Last updated 11/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # NM0P2390
  • NM Medicaid 54384206
Hospital affiliation(s) Not Available
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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