| Dr Chris E Deitrick, OD | |
|
101 Case Commons Dr., Mountain View, AR 72560 | |
| (870) 269-3610 | |
| (870) 269-5086 |
| Full Name | Dr Chris E Deitrick |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 101 Case Commons Dr., Mountain View, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669470183 | NPI | - | NPPES |
| 431988740 | Other | AR | TAX ID # |
| 145299722 | Medicaid | AR | |
| 4709560001 | Other | AR | MEDICARE DMEPOS ID # |
| 19930000041 | Other | AR | QUALCHOICE ID # |
| 410049416 | Other | AR | MEDICARE RR ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 2516 (Arkansas) | Secondary |
| 152W00000X | Optometrist | 2516 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chris E Deitrick, OD Po Box 1460, 101 Case Commons Drive, Mountain View, AR 72560-1460 Ph: (870) 269-3610 | Dr Chris E Deitrick, OD 101 Case Commons Dr., Mountain View, AR 72560 Ph: (870) 269-3610 |
Dr. Kenny J Wyatt, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 202 Peabody, Mountain View, AR 72560 Phone: 870-269-3610 Fax: 870-269-5086 | |