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DR. ALEECE MARIE DIETZ OD
NPI 1194415190
Optometrist in Springdale, AR

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment
1210 JTL PKWY E STE 103, SPRINGDALE, AR 72762(479) 777-2697(479) 763-3212 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Jul 19, 2023, May 11, 2023 (3 updates tracked since 2023).

About Dr. Aleece Marie Dietz Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEECE MARIE DIETZ OD (NPI 1194415190) is an individual optometrist in Springdale, Arkansas, licensed in Arkansas (2887) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1194415190
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALEECE MARIE DIETZCredential: OD
Location Address1210 JTL PKWY E STE 103Springdale, AR 72762-7037
Mailing Address1210 Jtl Pkwy E Ste 103Springdale, AR 72762-7037 · (479) 777-2697 · Fax (479) 763-3212
Phone(479) 777-2697
Fax(479) 763-3212
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2023
Enumeration DateMay 11, 2023
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1194415190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AR · 2887✔ Licensed in OK · 3228
Definition
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.
1210 JTL PKWY E STE 103, Springdale, AR 72762
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Other Names 1

Former Name (1)Dr. Aleece Marie Kanai Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aleece Marie Dietz Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709232184
PECOS Enrollment IDI20241011002236
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Aleece Dietz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiant Eye Care Optometric Corporation
0.8 mi
Optometrist
5653 GATEWAY AVE APT D
Tontitown, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 clinicians in this Medicare group
NPI 1881241792 (479) 777-2697
Cherokee Nation
33 mi
Multi-Specialty
471688 HIGHWAY 51
Stilwell, OK 74960
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1992711345 (918) 696-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aleece Dietz's NPI number?

The NPI number for Aleece Dietz is 1194415190. It was assigned to this individual provider in the NPPES registry on May 11, 2023. The provider is also known as Dr. Aleece Marie Kanai Od.

Where is Aleece Dietz located?

Aleece Dietz practices at 1210 Jtl Pkwy E Ste 103, Springdale, AR 72762. The listed phone number is (479) 777-2697.

What is Aleece Dietz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Aleece Dietz enrolled in Medicare?

Yes. Aleece Dietz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Aleece Dietz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aleece Dietz reassigns Medicare benefits to 2 organizations: Radiant Eye Care Optometric Corporation (Tontitown, AR) and Cherokee Nation (Stilwell, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aleece Dietz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aleece Dietz accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Aleece Dietz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aleece Dietz was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.