JEANNENE L DIETER (O.D.) – Optometrist, NPI 1417955451

JEANNENE L DIETER (O.D.) is a healthcare provider. based in Sarasota, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OP0002256 (FL). The NPI Number for JEANNENE L DIETER (O.D.) is 1417955451

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
JEANNENE L DIETER (O.D.)
NPI
1417955451
Phone
(941) 388-8419
Address
2401 UNIVERSITY PKWY STE 204
Enumeration Date
13 July 2005
Last Update Date
16 March 2023

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
9419542020
Graduation Year
1987 (39 years ago)
PAC ID
1658567268
Group Practice PAC ID
8820060296
Professional Enrollment ID
I20101122000893
Address ID
FL342395101SA3131XTRLX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

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Provider Addresses for JEANNENE L DIETER (O.D.)

  • University Parkway, Sarasota, Sarasota County, Florida, 34270, United States

    SARASOTA, FL 342432973

    Phone: (941) 388-8419

    Fax: (941) 388-8438

    Type: Mailing

  • 8312 US HIGHWAY 301 N STE 105

    PARRISH, FL 342198725

    Phone: (941) 776-0577

    Fax: (941) 845-0162

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: RxSight Inc ($97).

Total Amount

$169

General + Research + Ownership

Payments

3

Total payment records

General Amount

$169

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101122000893IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system2121$0
92014Established patient complete exam of visual system1212$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 34243)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820060296View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Where can patients find JEANNENE L DIETER (O.D.)'s NPI?
You can confirm JEANNENE L DIETER (O.D.) with NPI 1417955451; it appears in the national provider directory.
Is JEANNENE L DIETER (O.D.)'s NPI currently valid?
The extract we use shows JEANNENE L DIETER (O.D.) as active.
What field does JEANNENE L DIETER (O.D.) work in?
You can think of JEANNENE L DIETER (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JEANNENE L DIETER (O.D.)?
The page summarizes Sarasota, Florida for JEANNENE L DIETER (O.D.); expand the address list for detail.
Is JEANNENE L DIETER (O.D.) a real provider?
This page reflects official NPPES data for NPI 1417955451. Always confirm identity and privileges with the practice and licensing boards.

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