Jeannene L Dieter, O.D.

NPI #1417955451 in Parrish, Florida

Provider Information

NPI Number: 1417955451
Entity Type: Individual
Name: Jeannene L Dieter, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 13, 2005
Last Updated: Mar 16, 2023

Practice Location

Address: 8312 US HIGHWAY 301 N STE 105
City: Parrish
State: Florida
ZIP Code: 34219-8725
Phone: (941) 776-5770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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