JON FREDRICK DIETLEIN (NPI# 1811901887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811901887 |
| Entity Type | Individual |
| Full Name | JON FREDRICK DIETLEIN |
| Credential | M.D. |
| Practice Address |
311 River Bend Dr Georgetown TX 78628-2782 |
| Practice Telephone | 5129312255 |
| Practice Fax Number | 5128199528 |
| Mailing Telephone | 5129312255 |
| Mailing Fax Number | 5128199528 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | H0298 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
311 RIVER BEND DR |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-2782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295860930 | Jon F Dietlein, M.d., P.a. | Durable Medical Equipment & Medical Supplies | 311 River Bend Dr, Georgetown, TX 78628-2782 | 2007-02-22 |
| 1285797621 | Jon F Dietlein Md Pa | Optometrist | 311 River Bend Dr, Georgetown, TX 78628-2782 | 2006-12-18 |
| 1316951056 | Pamela Evans | Optometrist | 311 River Bend Dr, Georgetown, TX 78628-2782 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487213872 | Mann Eye Center, Pa | Ophthalmology | 1530 Sun City Blvd Ste 150, Georgetown, TX 78633-5353 | 2019-06-10 |
| 1821142720 | Coastal Eye Group, P.C. | Ophthalmology | 1200 Highmarket St Ste 200, Georgetown, SC 29440-3227 | 2007-01-22 |
| 1154343192 | Richard E. Dechamplain | Ophthalmology | 1200 Highmarket St, Suite 200, Georgetown, SC 29440-3227 | 2006-07-25 |
| 1689611949 | Wwr, Psc | Ophthalmology | 103 S Bradford Ln, Georgetown, KY 40324-2336 | 2006-06-02 |
| 1508211657 | Reveal Eye Care & Surgery, Pllc | Ophthalmology | 3613 Williams Dr, Suite 703, Georgetown, TX 78628-1377 | 2016-04-26 |
| 1073748158 | James Jerome Gullett | Ophthalmology | 103 S Bradford Ln, #102, Georgetown, KY 40324-2336 | 2009-05-19 |
| 1447441282 | Anderson Hills Eye, Inc. | Ophthalmology | 415 Home St, Georgetown, OH 45121-1478 | 2007-08-07 |
| 1144422908 | Justin David Aaker | Ophthalmology | 3613 Williams Dr, Suite 703, Georgetown, TX 78628-1377 | 2007-06-04 |
| 1881618502 | Gerald R. Tiller | Ophthalmology | 1200 Highmarket St, Georgetown, SC 29440-3227 | 2006-07-26 |
| 1033133772 | Carole M. Young | Ophthalmology | 1200 Highmarket St, Suite 200, Georgetown, SC 29440-3227 | 2006-07-26 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
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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.