CHRIS DEITRICK OD PA


Address: 202 Peabody St, Mountain View, AR 72560-1460
Phone: 8702693610

CHRIS DEITRICK OD PA (NPI# 1780773481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780773481
Entity Type Organization
Organization Name CHRIS DEITRICK OD PA
Other Organization Name MOUNTAIN VIEW EYE CARE
Practice Address 202 Peabody St
Mountain View
AR 72560-1460
Mailing Address Po Box 1460
202 Peabody
Mountain View
AR 72560-1460
Practice Telephone 8702693610
Practice Fax Number 8702695086
Mailing Telephone 8702693610
Mailing Fax Number 8702695086
Enumeration Date 2006-10-12
Last Update Date 2008-02-20
Authorized Official Name MRS. LANETTE LEE (OFFICE MANAGER)
Authorized Official Telephone 8702693610
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
2516 AR Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
MOUNTAIN VIEW EYE CARE Doing Business As Name - Organization

Office Location

Street Address 202 PEABODY ST
City MOUNTAIN VIEW
State AR
Zip Code 72560-1460

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979781 Creoks Mental Health Services, Inc Clinic/Center 301 Industrial Road, Mountain View, AR 72560 2020-07-14
1194377861 John Randolph Crone II Physical Therapist 103 Mountain Place Drive, Mountain View, AR 72560 2019-07-12
1154898161 Candace Casey Lane Physical Therapy Assistant 260 Hickory Circle, Mountain View, AR 72560 2018-10-29
1780102210 Janet Karen Watkins Developmental Therapist 1810 Ozarka College Drive, Mountain View, AR 72560 2017-09-05
1861928038 Jason Nope Registered Nurse 217 Brewer Avenue, Mountain View, AR 72560 2017-05-10
1013377415 Charles Grinder Nurse Practitioner 102 Mountain Place Dr Ste C, Mountain View, AR 72560 2016-02-26
1912365982 Baxter Regional Health System Family Medicine 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 2016-02-05
1790142859 Baxter Regional Health System Nurse Practitioner 803 W Main St., Mountain View, AR 72560 2016-01-20
1518337732 Beverly Clark Nurse Practitioner 803 West Main Street, Mountain View, AR 72560 2015-09-30
1447503941 Mitchell's Main Street Pharmacy, Inc Pharmacy 214 East Main St, Mountain View, AR 72560 2012-10-22
Find all providers in zip 72560

Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669470183 Chris Deitrick Optometrist 202 Peabody, Mountain View, AR 72560 2005-07-08
1588179857 Dr. Yura Kim, Od Optometrist 644 San Antonio Rd, Mountain View, CA 94040-1304 2017-12-08
1891060737 Yura Kim Optometrist 644 San Antonio Rd, Mountain View, CA 94040-1304 2012-03-10
1427108026 Michael Adey Optometrist 555 Castro St, Mountain View, CA 94041-2009 2007-01-12
1427056951 Kenny J Wyatt Optometrist 202 Peabody, Mountain View, AR 72560 2005-07-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750595757 Dr. Clifford M Turner II Od Optometrist 116 East Second St., Carlisle, AR 72024-0859 2007-05-09
1316166697 Icem E Brewer Optometrist 4201 N Shiloh Dr Ste 1235, Fayetteville, AR 72703-5303 2007-04-24
1568597409 Kerry Childers, O.d., P.a. Optometrist 618 Julia Ave E, Wynne, AR 72396-3504 2007-02-22
1598836066 Rick D Ray Optometrist 2 Riviera Dr, Booneville, AR 72927-0295 2006-11-13
1194817676 Robert Frank Castiglione Optometrist 787 6th St, Little Rock Air Force Base, AR 72099-4947 2006-09-29
1114906310 Kerry K Childers Optometrist 723 Falls Blvd S, Ste A, Wynne, AR 72396-3508 2006-01-16
1124028493 Charles G Crosslin Optometrist 7345 Highway 62 W, Gassville, AR 72635 2005-07-28
1801100623 Patrick Fowler O.d. P.a. Optometrist 5501 S Olive St, Pine Bluff, AR 71603-7607 2010-08-04
1669591129 Richard Foster Optometrist 2000 John Harden Dr, Jacksonville, AR 72076-2730 2007-03-28
1518043348 J Brian Gray Od Pa Optometrist 114 E Oak Ave, Jonesboro, AR 72401-3561 2006-10-27
Find all providers with the same taxonomy

Competitor

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City MOUNTAIN VIEW
Zip Code 72560

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Dataset Information

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.

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