DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DANIEL SCOTT TIEDEMAN O.D.

MEDICARE: DANIEL SCOTT TIEDEMAN O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist12657CA

General Provider Information

NPI Number : 1508986704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL SCOTT TIEDEMAN O.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9394 BIG HORN BLVD
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-7977
Country : US
Telephone Number : 916-691-8500
Fax Number : 916-691-8589
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 12/08/2023

Similar Medicare Providers

1245577279 — MENALIN P GANAL DO
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-691-8500
Practice Fax: 916-691-8589
1205812195 — DR. CATHARINE MALMSTEN M.D.
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-691-8500
Practice Fax: 916-691-8599
1871699439 — STEVEN LITTLEWOOD M.D.
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-691-8500
Practice Fax: 916-691-8599
1134229149 — MS. PATRICIA A WALLRICH PA-C
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-691-8524
Practice Fax: 916-691-8595
1538260922 — WENDY W. LIN M.D.
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-733-3333
Practice Fax:
1740433093 — DR. THOMAS ANDREW VALDEZ M.D.
Practice Location Address:
9394 BIG HORN BLVD
ELK GROVE, CA
95758-7977
Practice Phone: 916-691-8500
Practice Fax: 916-691-8585

Directions to “ DANIEL SCOTT TIEDEMAN O.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.