Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MICHAEL DIEDRICH, OD
ActiveJACOB MICHAEL DIEDRICH, OD is a Optometrist healthcare provider located in SIOUX CITY, Iowa. NPI 1407415599 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SIOUX CITY, IA
Registration Details
- NPI Number
- 1407415599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2019 (7.1808181320671 yrs)
- Last Updated
- Feb 17, 2021
- Licenses
-
758 (SD)096566 (IA)
Practice Information
- Address
-
5001 SERGEANT RD STE 45SIOUX CITY, IA, 511064777Browse IA providers · Browse ZIP 51106
- Phone
- 7122244600
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in SIOUX CITY, IA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN D KIERNAN | O.D. | 1326046152 |
| DR. DANIEL LOUIS BRODKEY | O.D. | 1811997802 |
| PENELOPE ANN HAEKER | OD | 1326040361 |
| DR. DENNIS ROY VANNATTA | O.D. | 1144212358 |
| DR. SCOTT R. BEECHER | O.D. | 1841282050 |
| DR. LORAYNE CAROLINE MIDDENDORP | OD | 1053390328 |
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.