Dr. Susan N Diederich is a Grafton, Wisconsin based female Optometrist with 20 years of experience in Optometry. She completed her graduation from Indiana University - School Of Optometry in 2004. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Susan N Diederich is 2981-035 for Optometry in Wisconsin. Dr. Susan N Diederich 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. She 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. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Susan N Diederich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
20+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
2004
Gender:
Female
Accepts Medicare Assignment:
May Accept
Practice Address:
1260 N Port Washington Rd, Grafton, Wisconsin, 53024-9315
Phone:
262-546-0234
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1052380524
Enrollment ID:
I20040930000934
NPI Number:
1750318580
NPI Enumeration Date:
27 Jun, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan N Diederich are as mentioned below.
License Number
Specialization
State
Status
2981-035
Optometry
Wisconsin
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Susan N Diederich has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Markerry Enterprises Llc (5698195717)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Susan N Diederich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38624700
Medicaid
Wisconsin
WI2981
Other
EYEMED VISION NO.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16800 West Cleveland Ave, New Berlin, Wisconsin
Zip:
53151-3533
Phone Number:
262-432-2005
Fax Number:
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Patients can reach Dr. Susan N Diederich at 1260 N Port Washington Rd, Grafton, Wisconsin or can call to book an appointment on 262-546-0234. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
Similar Optometrist in Grafton, WI
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