Search › Iowa › 152W00000X
Jacob Diedrich, OD
NPI 1407415599 · on the registry since 2019
Practice
- Address
- 5001 Sergeant Rd Ste 45
Sioux City, IA 51106 - Phone
- (712) 224-4600
- Organisation at this address
- Eyemart Express Llc
Eyemart Express, Ltd.
Penelope A Haeker Od Plc
The Lactation Network, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 5129 S Western Ave, Sioux Falls, SD
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- SD, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa