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Active NPI 1245374115 Individual Practitioner Male Practitioner

Dr. Michael V Dieter , OD

Optometrist • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Dieter, OD is a registered healthcare professional specializing in Optometrist in Maple Grove, MN. Practice services are available at 12000 ELM CREEK BLVD N STE L90 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N Ste L90

Maple Grove, MN 553697168

Telephone 7634160919
Fax 7634160992

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Maple Grove, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1693

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
844323800 (MN)
Commercial Insurance / Payer ID Blue Cross Blue Shield
1396DI (MN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2015

Registered at 12000 ELM CREEK BLVD N STE L90, MAPLE GROVE, MN 553697168 (Tel: 7634160919)

📍
Updated Business Mailing Address June 08, 2015

Registered at 12000 ELM CREEK BLVD N STE L90, MAPLE GROVE, MN 553697168 (Tel: 7634160919)

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Provider Name / Credentials Updated June 08, 2015

Recorded as MICHAEL DIETER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2015

Optometrist (License #1693 in MN)

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Initial NPI Registration & Enumeration February 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245374115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: June 08, 2015
Sole Proprietor: Yes

Mailing Address

12000 Elm Creek Blvd N Ste L90

Maple Grove, MN 553697168

Phone: 7634160919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.