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GARY LEE DIETTERICK NPI 1700803897


NPI Information

NPI: 1700803897
Provider Name: GARY LEE DIETTERICK

Doing Business As: PALMER FAMILY EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
21 CORPORATE DR
EASTON, PA
ZIP 18045
Phone: (610) 258-2442
Get Directions

GARY LEE DIETTERICK is an optometrist in Easton, PA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GARY LEE DIETTERICK NPI is 1700803897. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Palmer Family Eye Care.

The provider's business location address is:

21 CORPORATE DR
EASTON, PA
ZIP 18045-664
Phone: (610) 258-2442
Fax: (610) 258-7961

The provider's authorized official is Gary L Dietterick .
The authorized official title is Dr/owner and has the following contact phone number (610) 258-2442.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOEG000606PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102669200OTHERPENNSYLVANIACAPITAL BLUE CROSS
202669200OTHERPENNSYLVANIAKEYSTONE
3624066OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
4DD4313OTHERPENNSYLVANIAPALMETTO GBA RAILROAD MED
5088984MEDICARE UPINPENNSYLVANIA
60255130001MEDICARE NSCPENNSYLVANIA
73803518OTHERPENNSYLVANIAAETNA
8T30157MEDICARE UPINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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