Andrea Kaye Dietz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6031/T2946 Issued in OH

Practice address

208 N Main St
Minster, OH 45865-1121

Phone

(419) 628-3017

Fax

(419) 628-8208

NPI assigned

Jul 12, 2011

Last updated

Mar 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dietz Eye Care and Associates LLCGroup PAC ID 0547703563, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dietz Eye Care & Associates LLC

  • Optometrist
  • Lima, OH
  • NPI 1659127538
  Medicare reassignment Care Compare group NPD
• Kara S Hampton

  dba Springboro Vision Center

  • Optometrist
  • Springboro, OH
  • NPI 1144498197
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Springboro Vision, LLC

  • Optometrist
  • Springboro, OH
  • NPI 1053817478
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1649568577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "08736 NEW BREMEN NEW KNOXVLE RD",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699755",
            "telephone_number": "419-733-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N MAIN ST",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458651121",
            "telephone_number": "419-628-3017",
            "fax_number": "419-628-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Fort Amanda Rd",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458054813",
            "country_code": "US",
            "telephone_number": "419-228-3937",
            "fax_number": "419-228-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "ANDREA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6031/T2946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Personal Wellness, LLC
• Larita M Condon, SLP
• Erica Nichole Cook, PMHNP-BC
• Cornerstone Rehabilitation LTD
• Amanda Dahlinghaus
• Amanda Eilerman, O.D., M.S.
• Marvin Eilerman
• Peter Falk, D.C.
• Heather M Frey, M.S., CCC-SLP
• Renae Marie Gaerke, RPH

• Optometrist in Minster, OH
• Providers in Minster, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.