Dr Aleece Marie Kanai Dietz, OD | |
1100 N College Ave, Fayetteville, AR 72703-1944 | |
(479) 444-5093 | |
(479) 587-6105 |
Full Name | Dr Aleece Marie Kanai Dietz |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1100 N College Ave, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194415190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3228 (Oklahoma) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Cherokee Nation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
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Dr Aleece Marie Kanai Dietz, OD 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 444-5093 | Dr Aleece Marie Kanai Dietz, OD 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 444-5093 |
Roger D Roberts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 745 E Joyce Blvd Ste 124, Fayetteville, AR 72703 Phone: 795-829-1194 | |
Dr. Lance Daniel I, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4201 N Shiloh Dr, Fayetteville, AR 72703 Phone: 479-444-8704 | |
Cateon Burnside, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3689 N Steele Blvd, Fayetteville, AR 72703 Phone: 479-521-2555 | |
Dr. Brian W. Buell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4083 N Shiloh Dr, Suite One, Fayetteville, AR 72703 Phone: 479-521-7774 Fax: 479-521-4928 | |
Ramya Natarajan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-444-5093 Fax: 479-587-6105 | |
Dr. Emma Holden, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2783 N Shiloh Dr, Fayetteville, AR 72704 Phone: 479-755-4510 | |
Dr. Marcus Cooke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Eye Clinic, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-6105 |