DR. CAROL DIBBLE RECORD (NPI# 1033153978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033153978 |
| Entity Type | Individual |
| Full Name | DR. CAROL DIBBLE RECORD |
| Credential | O.D. |
| Practice Address |
1450 Sachem Pl Ste 202 Charlottesville VA 22901-2554 |
| Practice Telephone | 4349784090 |
| Practice Fax Number | 4349781005 |
| Mailing Telephone | 4349784090 |
| Mailing Fax Number | 4349781005 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618000232 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC/BS PJP OFFICE | 186515 | 01 |
| VA | ANTHEM BC/BS, SACHEM | 113326 | 01 |
| Street Address |
1450 SACHEM PL STE 202 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598995 | Raymond Paul Marotta | Family Medicine | 1450 Sachem Pl, Unit 201, Charlottesville, VA 22901-2554 | 2005-06-15 |
| 1437757093 | Katherine Peterson | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2020-10-15 |
| 1588143051 | Stephanie Modena Gillan | Family Medicine | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2018-08-07 |
| 1457809436 | Karen Kubinec | Nurse Practitioner | 1450 Sachem Pl, Suite 201, Charlottesville, VA 22901-2554 | 2016-09-19 |
| 1669830295 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2016-02-10 |
| 1114383759 | Jaclyn R Puga | Physician Assistant | 1450 Sachem Pl, Suite 201, Charlottesville, VA 22901-2554 | 2016-01-12 |
| 1508275751 | Felicia Maria Aliano | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2014-08-12 |
| 1992900484 | Gail Lee Kongable | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-06-15 |
| 1609095462 | Suzanne S Matriccino | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-04-24 |
| 1396842399 | Peter Joseph Schmidt | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400484 | National Vision Inc | Optometrist | 1824 Rio Hill Ctr, Charlottesville, VA 22901-1141 | 2019-07-29 |
| 1962927772 | Dr. J.m. Digirolamo, P.C. | Optometrist | 265 Merchant Walk Ave Ste 100, Charlottesville, VA 22902-6513 | 2017-08-14 |
| 1396129763 | Anthony John Zarella | Optometrist | 1430 Rolkin Ct Ste 103, Charlottesville, VA 22911-3582 | 2015-07-16 |
| 1760611362 | Tiffany Angie Kwon | Optometrist | 2014 Calvary Cir Apt 201, Charlottesville, VA 22911-8469 | 2009-07-06 |
| 1457479073 | Dr. J.m. Digirolamo, P.C. | Optometrist | 213 Connor Dr, Hollymead Town Center, Charlottesville, VA 22911-5604 | 2007-03-26 |
| 1689708422 | Steven Monroe Vest | Optometrist | 971 Hilton Heights Rd, Charlottesville, VA 22901-8394 | 2007-03-15 |
| 1720126469 | Thomas Alan Banton | Optometrist | 2034 Rio Hill Ctr, Charlottesville, VA 22901-1150 | 2007-02-02 |
| 1326193210 | Trudy L Rohm | Optometrist | 1114 Emmet St N Ste D, Charlottesville, VA 22903-4841 | 2007-01-24 |
| 1164595336 | Crozet Eye Care, Shannon Franklin, Od, LLC | Optometrist | 580 Radford Ln, Suite 101, Charlottesville, VA 22903-7485 | 2006-11-16 |
| 1114099728 | Jennifer Nelson | Optometrist | 1982 Arlington Blvd Ste 2, Charlottesville, VA 22903-5420 | 2006-11-15 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.