Dr Daniel J Dieterichs, Optometrists, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NM0P2390 Issued in NM

Legal business name

DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.

Practice address

837 W Castillo Ave
Belen, NM 87002-3123

Phone

(505) 864-8992

Fax

(505) 864-8737

NPI assigned

Nov 6, 2007

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barbara Ann Dieterichs

Title

Practice Manager

Phone

(505) 864-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven M. Berry, O.D.

  • Optometrist
  • Albuquerque, NM
  • NPI 1578538872
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1518147602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 W CASTILLO AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023123",
            "telephone_number": "505-864-8992",
            "fax_number": "505-864-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 W CASTILLO AVE",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023123",
            "telephone_number": "505-864-8992",
            "fax_number": "505-864-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "DIETERICHS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "505-864-8992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "NM0P2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54384206",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie-Lynn S Deraps
• Dina Dogin
• Leonore Dominguez, COTA
• Rebecca Ann Dominguez, ATC, LAT
• Jenifer Lee Donnell, LVN
• Dr. David Schneider's Office
• Pamela E Duda, LCSW
• Kelly Earley, LISW
• Melissa Elkins-Lucero, RDH
• Lloyd Elliott

• Optometrist in Belen, NM
• Providers in Belen, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.