Jacob Michael Diedrich is a Sioux City, Iowa based male Optometrist with 5 years of experience in Optometry. He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jacob Michael Diedrich is 758 for Optometry in South Dakota. Jacob Michael Diedrich 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. He 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. He 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:
Jacob Michael Diedrich 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:
OD
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2019
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5001 Sergeant Rd Ste 45, Sioux City, Iowa, 51106-4777
Phone:
712-224-4600
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:
9436484458
Enrollment ID:
I20210305001744
NPI Number:
1407415599
NPI Enumeration Date:
11 Jun, 2019
NPI Last Update On:
17 Feb, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Michael Diedrich are as mentioned below.
License Number
Specialization
State
Status
758
Optometry
South Dakota
Primary
096566
Optometry
Iowa
Secondary
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 Jacob Michael Diedrich has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Howlin Vision Clinic Pc (6901893783)
6
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7507 S Beal Ave Apt 13, Sioux Falls, South Dakota
Zip:
57108-4918
Phone Number:
--
Fax Number:
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Patients can reach Jacob Michael Diedrich at 5001 Sergeant Rd Ste 45, Sioux City, Iowa or can call to book an appointment on 712-224-4600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.