Brett Alan Dietz (NPI# 1356441802, PAC ID# 1850310111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1356441802 |
| PAC ID by PECOS | 1850310111 |
| Professional Enrollment ID | I20120216000183 |
| Full Name | Brett Alan Dietz |
| Address |
114 N Galway Dr Granville OH 43023-9583 |
| Phone Number | 7405874970 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 114 N Galway Dr, Granville, OH 43023-9583 | 7405874970 | |
| 12464 Lancaster St, Millersport, OH 43046-0421 | 7404672525 |
| Street Address |
114 N GALWAY DR |
| City | GRANVILLE |
| State | OH |
| Zip | 43023-9583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Lynn Hamilton | Podiatry | 2158 Columbus Rd, Granville, OH 43023-1242 | |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Kevin T Graham | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Navin Muni | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Sarah Dorsky | Nurse Practitioner | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Andre De Leon | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Aaron J Kibler | Family Practice | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Dustin C Zimpfer | Chiropractic | 230 Broadway E, Suite 150, Granville, OH 43023-1363 | |
| Kelley Jo Breidigan | Clinical Social Worker | 128 S Main St, Granville, OH 43023-1409 | |
| Karen H Berdan | Optometry | 205 /2 S Prospect St, Granville, OH 43023-1423 | |
| Find all physicians in zip 43023 | |||
| City | GRANVILLE |
| Zip Code | 43023 |
| Specialty | OPTOMETRY |
| City + Specialty | GRANVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Brett Alan Dietz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.