Dr Daniel J Dieterichs, Optometrists, P.c.

NPI #1518147602 in Belen, New Mexico

Provider Information

NPI Number: 1518147602
Entity Type: Organization
Organization Name: Dr Daniel J Dieterichs, Optometrists, P.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 6, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 837 W CASTILLO AVE
City: Belen
State: New Mexico
ZIP Code: 87002-3123
Phone: (505) 864-8992

Authorized Official

Name: MR. BARBARA ANN DIETERICHS
Title: PRACTICE MANAGER
Phone: (505) 864-8992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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