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

DANIEL SCOTT TIEDEMAN, O.D.

Active

DANIEL SCOTT TIEDEMAN, O.D. is a Optometrist healthcare provider located in ELK GROVE, California. NPI 1508986704 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ELK GROVE, CA

Registration Details

NPI Number
1508986704
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2007 (19.19204907276 yrs)
Last Updated
Dec 8, 2023
License
12657 (CA)

Practice Information

Address
9394 BIG HORN BLVD
ELK GROVE, CA, 957587977
Browse CA providers · Browse ZIP 95758
Phone
9166918500
Fax
9166918589
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in ELK GROVE, CA

Name Credential NPI
MICHAEL WANG OD. 1104820950
DR. AMI PATEL SHAH O.D. 1881665388
DR. DIANA LYNN MCKNIGHT O.D. 1457310500
DR. SHARON L YURKO O.D. 1861455941
DR. JOHN J ELIOPULOS O.D. 1619930500
DR. LISA B STEPHAN O.D. 1437113628
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.