Jon Fredrick Dietlein, M.D.

Ophthalmology Physician · Georgetown, TX

Individual Active NPI

NPI number 1811901887

Practice location

311 River Bend Dr
Georgetown, TX 78628-2782
Phone
(512) 931-2255
Fax
(512) 819-9528

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NPI record

NPI
1811901887
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X H0298 TX

About Dr. Dietlein

Jon Fredrick Dietlein, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 311 River Bend Dr, Georgetown, TX 78628-2782. The NPI number 1811901887 was assigned on July 28, 2006 and the record was last updated on July 8, 2007.

Dr. Dietlein lists a license in the registry: #H0298 (TX) for Ophthalmology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Fredrick Dietlein, M.D.?

The NPI number is 1811901887.

What is the phone number of Dr. Dietlein?

The phone number listed for the practice location is (512) 931-2255.

Where is Dr. Dietlein located?

311 River Bend Dr, Georgetown, TX 78628-2782.

What is the taxonomy code for Dr. Dietlein?

The primary taxonomy code is 207W00000X – Ophthalmology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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