DR. BRETT ALAN DIETZ (NPI# 1356441802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356441802 |
| Entity Type | Individual |
| Full Name | DR. BRETT ALAN DIETZ |
| Credential | O.D. |
| Practice Address |
114 N Galway Dr Granville OH 43023-9572 |
| Practice Telephone | 7405874970 |
| Practice Fax Number | 7405874863 |
| Mailing Telephone | 7405874970 |
| Mailing Fax Number | 7405874863 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2012-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5109 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2235414 | 05 | |
| OH | MEDICARE RAILROAD BOARD | 410046458 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976510 | Brett William Dietz | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Room 987, San Francisco, CA 94143-0119 | 2016-04-01 |
| Street Address |
114 N GALWAY DR |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932320447 | Eye Site, L.L.C. | Optometrist | 114 N Galway Dr, Granville, OH 43023-9572 | 2007-05-01 |
| 1205926318 | Nancy R Dietz | Optometrist | 114 N Galway Dr, Granville, OH 43023-9572 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1316335268 | Derek Fry | Specialist/Technologist | 200 Livingston Dr, Granville, OH 43023 | 2014-12-30 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| Find all providers in zip 43023 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356353213 | Karen H. Berdan | Optometrist | 205 1/2 S Prospect St, Granville, OH 43023-1423 | 2006-08-12 |
| 1093792699 | James Oliver Morse | Optometrist | 15 Irvine Av, Granville, NY 12832-1233 | 2005-12-27 |
| 1326022054 | Procare Vision Centers Inc | Optometrist | 1955 Newark Granville Rd, Granville, OH 43023-9170 | 2005-12-06 |
| 1083230858 | Granville Vision Center LLC | Optometrist | 205 1/2 S Prospect St, Granville, OH 43023-1423 | 2020-06-17 |
| 1497188486 | Katherine Bickle | Optometrist | 1955 Newark Granville Rd, Granville, OH 43023-9170 | 2013-08-14 |
| 1932320447 | Eye Site, L.L.C. | Optometrist | 114 N Galway Dr, Granville, OH 43023-9572 | 2007-05-01 |
| 1205926318 | Nancy R Dietz | Optometrist | 114 N Galway Dr, Granville, OH 43023-9572 | 2006-10-13 |
| 1225012958 | Franklin Melville Bickle | Optometrist | 1955 Newark Granville Rd, Granville, OH 43023-9170 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667789 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1355 W Main St Ste A, Bellevue, OH 44811-9082 | 2020-10-20 |
| 1750980850 | Susan Ross Od Professional Corp | Optometrist | 3705 State Rd Ste 103, Ashtabula, OH 44004-5957 | 2020-10-20 |
| 1154920288 | Susan Ross Od Professional Corp | Optometrist | 28699 Chagrin Blvd Ste 400, Woodmere, OH 44122-4554 | 2020-10-20 |
| 1023617222 | Susan Ross Od Professional Corp | Optometrist | 803 N Lexington Springmill Rd, Ontario, OH 44906-1116 | 2020-10-20 |
| 1821602640 | Parnell Family Eye Care LLC | Optometrist | 214 Collins Ave, South Point, OH 45680-8501 | 2020-08-31 |
| 1346859816 | Andrea L. Fisher Od | Optometrist | 4693 Liberty Ave, Vermilion, OH 44089-3242 | 2020-07-30 |
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1184232381 | Afra Hussain | Optometrist | 1460 Spring Meadows Dr Unit E100, Holland, OH 43528-9478 | 2020-07-14 |
| 1932727401 | Sarah Guillette | Optometrist | 215 W Bowery St Ste 4500, Akron, OH 44308-1070 | 2020-07-10 |
| 1841817954 | Ariel Q Wang | Optometrist | 27030 Cedar Rd Apt 212, Beachwood, OH 44122-1119 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.