Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN DAVID DIETRICH, O.D.
ActiveDR. BENJAMIN DAVID DIETRICH, O.D. is a Optometrist healthcare provider located in HARRISVILLE, Michigan. NPI 1073952297 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HARRISVILLE, MI
Registration Details
- NPI Number
- 1073952297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2013 (13.134274012408 yrs)
- Last Updated
- Jul 14, 2023
- License
-
4901004764 (MI)
Practice Information
- Address
-
300 N STATE STHARRISVILLE, MI, 487409693Browse MI providers · Browse ZIP 48740
- Phone
- 9897247440
- Fax
- 9897247531
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.