National Provider Identifier Database

DR DANIEL J DIETERICHS OPTOMETRISTS PC
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

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
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.

NPI Number 1518147602
Legal business name
LBN
DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.
Authorized official BARBARA DIETERICHS - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 11/06/2007
Last updated 11/06/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: NM0P2390
  • NM Medicaid: 54384206

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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