Daniel Scott Tiedeman in Elk Grove - Optometrist
Daniel Scott Tiedeman - NPI 1508986704
Daniel Scott Tiedeman is a Optometrist in Elk Grove, California. Daniel Scott Tiedeman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Daniel Scott Tiedeman is 1508986704. The last update date is 2023-12-08.
Daniel Scott Tiedeman's current location address is 9394 Big Horn Blvd, Elk Grove, California. You can contact this provider via phone number 9166918500 and fax number 9166918589. The mailing address for Daniel Scott Tiedeman is 9394 Big Horn Blvd, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Scott Tiedeman |
|---|---|
| Address | 9394 Big Horn Blvd, Elk Grove, California |
| Phone Number | 9166918500 |
| Fax Number | 9166918589 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1508986704 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2023-12-08 |
Provider Mailing Address Detail
| Address | 9394 Big Horn Blvd |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 957587977 |
| Phone Number | 9166918500 |
| Fax Number | 9166918589 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 12657 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identification code issued to Daniel Scott Tiedeman by the Centers for Medicare & Medicaid Services?
The Daniel Scott Tiedeman has been assigned the NPI (National Provider Identifier) 1508986704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Daniel Scott Tiedeman located?
The Daniel Scott Tiedeman is located at 9394 Big Horn Blvd, Elk Grove, CA 957587977.
What is the Daniel Scott Tiedeman's specialty and taxonomy code?
The Daniel Scott Tiedeman's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Daniel Scott Tiedeman receive its 1508986704 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Scott Tiedeman was assigned its 1508986704 by the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the details related to Daniel Scott Tiedeman most recently updated or revised?
The information pertaining to Daniel Scott Tiedeman, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-08.
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