Individual
BOKAYE M. DIETMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
425 W WASHINGTON AVE STE 100, MADISON, WI 53703-2738
(608) 256-4750
(608) 255-7464
Mailing address
425 W WASHINGTON AVE STE 100, MADISON, WI 53703-2738
(608) 256-4750
(608) 255-7464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3294-035
WI
Other
Enumeration date
05/01/2013
Last updated
03/05/2025
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