Gary Lee Dietterick

NPI #1700803897 in Easton, Pennsylvania

Provider Information

NPI Number: 1700803897
Entity Type: Organization
Organization Name: Gary Lee Dietterick
Primary Specialty: Optometrist
Enumeration Date: Jul 16, 2006
Last Updated: Oct 10, 2014

Practice Location

Address: 21 CORPORATE DR
City: Easton
State: Pennsylvania
ZIP Code: 18045-2664
Phone: (610) 258-2442

Authorized Official

Name: DR. GARY L DIETTERICK, OD
Title: DR/OWNER
Phone: (610) 258-2442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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