Jeannene L Dieter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0002256 Issued in FL

Practice address

8312 US Highway 301 N Ste 105
Parrish, FL 34219-8725

Phone

(941) 776-5770

Fax

(941) 845-0162

NPI assigned

Jul 13, 2005

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chanda W Wall OD PA

  dba Specs Eyewear

  • Optometrist
  • Sarasota, FL
  • NPI 1649486408
  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• Palm Coast Eye Center, P.a.

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1427098730

  Optometrist

  Medicare reassignment NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• Provision Laser Eye Center PA

  dba Provision Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Englewood, FL
  • NPI 1639217540

  Optometrist

  NPD (past)
• SK Retina LLC

  dba SK Retina

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
  • NPI 1194170779
  NPD (past)
• Vision Care Florida, LLC

  dba Rutkowsky Eyecare

  • Optometrist
  • Bradenton, FL
  • NPI 1366834467
  NPD (past)
• Walter F Rutkowsky O D PA

  • Optometrist
  • Bradenton, FL
  • NPI 1730358524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1417955451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 US HIGHWAY 301 N STE 105",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198725",
            "telephone_number": "941-776-0577",
            "fax_number": "941-845-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 US HIGHWAY 301 N STE 105",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198725",
            "telephone_number": "941-776-5770",
            "fax_number": "941-845-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETER",
        "first_name": "JEANNENE",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Deckman, RN
• Defenders for You Inc
• Amanda Rae Delcastillo, LMT, PT, CST-D
• Destination DNTL, P.a. (Destination Dental)
• Debbie Dieter, PT
• Ludmilla Dieujuste, DO
• Angelo Sebastian Domingo, PSY.D
• Melissa Beth Dressler, LCSW
• Cassie Duffy
• Dwayne Dunkerson

• Optometrist in Parrish, FL
• Providers in Parrish, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.