Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Michael Diedrich, OD

Individual provider Optometrist · NPI 1407415599

Jacob Michael Diedrich, OD is an Optometry in Sioux City, Iowa. Qualified in 2019, 7 years ago. Practices with Eye Guys PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa and South Dakota.

Years since qualifying
7
Licensed in
IA, SD
In the registry since
2019
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

5001 Sergeant Rd Ste 45
Sioux City, IA 51106-4777
Phone: (712) 224-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5129 S Western Ave, Sioux Falls, SD 57108-2670 — (605) 332-2231

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 758 (SD)
Optometrist Taxonomy 152W00000X · Licence 096566 (IA)

Record details

NPI number1407415599
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eye Guys Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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