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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY LEE DIETTERICK, OD

Active Sole Proprietor

DR. GARY LEE DIETTERICK, OD is a Optometrist healthcare provider located in EASTON, Pennsylvania. NPI 1407836851 is currently active in the NPPES registry. Verify at CMS.

Optometrist · EASTON, PA

Registration Details

NPI Number
1407836851
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2006 (20.382943541791 yrs)
Last Updated
Sep 23, 2008
License
OEG000606 (PA)
Sole Proprietor
Yes

Practice Information

Address
21 CORPORATE DR
STE.#2
EASTON, PA, 180452664
Browse PA providers · Browse ZIP 18045
Phone
6102582442
Fax
6102587965
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in EASTON, PA

Name Credential NPI
THOMAS M GULIBON JR. O.D. 1790788149
KATHERINE D LOCH O.D. 1265423537
GENE LUND OD 1780664003
SHAKIL MUSTAFA SYED OD 1871565028
DR. EMILIE PATRICIA RITTER OD 1538129564
DR. ANTHONY JOHN CALLAN M.S., O.D. 1154339091
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.