Dr. Jason Richard Diehl
Optometrist
1025 Columbia Ctr
Columbia
, Illinois 62236-2546
Dr. Jason Richard Diehl
Optometrist
1025 Columbia Ctr
Columbia
, Illinois 62236-2546
(636) 938-2650
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jason Richard Diehl
- 40 E North St
- Eureka, MO
- Zip : 63025-1205
- Fax : (636) 938-2650
- Phone : (636) 200-4393
Second Address
- Dr. Jason Richard Diehl
- 1025 Columbia Ctr
- Columbia, IL
- Zip : 62236-2546
- Fax : (618) 281-3927
- Phone : (618) 281-8611
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-009550 | IL |
National Provider Identifier
| NPI | 1003875147 |
|---|---|
| Provider Name | Dr. Jason Richard Diehl |
| First Address | Eureka, MO 63025-1205 |
| Second Address | Columbia, IL 62236-2546 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2006 |
| Last Update Date | 02/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00397557 | RAILROAD MEDICARE (01) | IL |
| U89866 | (02) | IL |
| U89866 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.