Dr. Kevin Clayton Dietrich, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639597636

Dr. Kevin Clayton Dietrich, MD is an Ophthalmology in Elkart, Indiana. Graduated from Florida State University College of Medicine in 2014, 12 years ago. Practices with Boling Vision Center LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying: 12
Trained at: Florida State University College of Medicine
Licensed in: IN
In the registry since: 2014
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Elkart, IN

No coordinates on file. Search this address in Google Maps

Specialties & licences

Ophthalmology Physician (primary)	Taxonomy 207W00000X · Licence 01095440A (IN)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1639597636
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	April 7, 2014
Last updated in NPPES	August 14, 2025
Certification date	April 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OPHTHALMOLOGY
Medical school	FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated	2014 (12 years in practice)
Group practice	Boling Vision Center Llc — 12 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount