Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER DIETZ, LDO
Active Sole ProprietorJENNIFER DIETZ, LDO is a Optician, Dispensing healthcare provider located in VANCOUVER, Washington. NPI 1720857717 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · VANCOUVER, WA
Registration Details
- NPI Number
- 1720857717
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 1, 2024 (2.5757007165185 yrs)
- Last Updated
- Jan 1, 2024
- License
-
DO60887277 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14505 NE FOURTH PLAIN BLVDVANCOUVER, WA, 986825003Browse WA providers · Browse ZIP 98682
- Phone
- 3602582651
- Fax
- 3608967308
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA VIRGINIA GRAHAM | — | 1356457824 |
| MRS. JEWELENE RAE PATTULLO | — | 1760599609 |
| BRADLEY A TATE | — | 1225147218 |
| JAMIE LYNN TURNER | DISPENSING OPTICIAN | 1093825986 |
| MR. MATTHEW E SURONEN | L.D.O | 1235249053 |
| KARRIE ANN JUSTICE | — | 1942311782 |
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.