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KELLIE DIETZ COA
NPI 1700611092
Technician/Technologist - Ophthalmic Assistant in French Camp, CA

Active since September 05, 2024
7777 E FREEDOM RD, FRENCH CAMP, CA 95231(209) 946-3400 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellie Dietz Coa NPPES

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

KELLIE DIETZ COA (NPI 1700611092) is an individual ophthalmic assistant in French Camp, California and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1700611092
Entity TypeIndividualFemale
Primary Taxonomy156FX1101X
Provider Legal NameKELLIE DIETZCredential: COA
Location Address7777 E FREEDOM RDFrench Camp, CA 95231-9694
Mailing Address6443 Oakridge WaySacramento, CA 95831-2233 · (916) 204-5672
Phone(209) 946-3400
Sole ProprietorNo
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1700611092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · Ophthalmic AssistantEye and Vision Services Providers
Taxonomy Code156FX1101X
Definition
An ophthalmic assistant assists ophthalmologists by performing duties including, but not limited to, patient charting, patient education, and basic eye testing.
7777 E FREEDOM RD, French Camp, CA 95231
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Other Names 1

Former Name (1)Kellie Duke Cpoa

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA BUTLER
Social Worker (Clinical)
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (650) 485-9216
JARED FONG
Physical Medicine & Rehabilitation
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 946-3400
EMILY GRACE MCNIEL HOOGENDOORN LCSW
Social Worker (Clinical)
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 815-6105
LETICIA TSHIPAMBA
Recreation Therapist
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 864-7401
REILLY HARRINGTON AU. D.
Audiologist
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 946-3400
LAURA LEE FANTOZZI D.P.M.
Podiatrist (Foot & Ankle Surgery)
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 946-3400
ARTHUR ANGEL RODRIGUEZ
Social Worker
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (650) 313-8872
MS. ANGELITA SOPHIA FLORES LCSW
Social Worker (Clinical)
7777 E FREEDOM RD
FRENCH CAMP, CA 95231
San Joaquin County (209) 946-3400

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 Kellie Dietz's NPI number?

The NPI number for Kellie Dietz is 1700611092. It was assigned to this individual provider in the NPPES registry on September 5, 2024. The provider is also known as Kellie Duke Cpoa.

Where is Kellie Dietz located?

Kellie Dietz practices at 7777 E Freedom Rd, French Camp, CA 95231. The listed phone number is (209) 946-3400.

What is Kellie Dietz's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ophthalmic Assistant, with taxonomy code 156FX1101X.

When was this NPI record last updated?

The NPPES record for Kellie Dietz was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.