Provider Demographics
NPI:1972618254
Name:DIERING AND DIPIETRO ASSOCIATES PTRS
Entity Type:Organization
Organization Name:DIERING AND DIPIETRO ASSOCIATES PTRS
Other - Org Name:FAMILY EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DIERING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:856-227-0720
Mailing Address - Street 1:900 ROUTE 168
Mailing Address - Street 2:SUITE E5
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-3233
Mailing Address - Country:US
Mailing Address - Phone:856-227-0720
Mailing Address - Fax:856-227-8550
Practice Address - Street 1:900 ROUTE 168
Practice Address - Street 2:SUITEE5
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-3233
Practice Address - Country:US
Practice Address - Phone:856-227-0720
Practice Address - Fax:856-227-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0238261000OtherAMERIHEALTH
NJ3439801Medicaid
NJ0238261000OtherIBC BCBS
NJ0238261000OtherAMERIHEALTH
NJ3439801Medicaid