DEAN DIFFENBAUGH (NPI# 1548774425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548774425 |
| Entity Type | Individual |
| Full Name | DEAN DIFFENBAUGH |
| Practice Address |
137 Spotsylvania Mall Ste 440a Fredericksburg VA 22407-1126 |
| Practice Telephone | 5407862272 |
| Mailing Telephone | 5407862272 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
TBD | VA | Eye and Vision Services Providers |
| Street Address |
137 SPOTSYLVANIA MALL STE 440A |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477941631 | Joseph Gabriel Mathern Jr. | Technician/Technologist | 100 Spotsylvania Mall, Fredericksburg, VA 22407-1126 | 2014-12-22 |
| 1356527048 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1871 Carl D Silver Pkwy, Fredericksburg, VA 22401-4969 | 2008-01-14 |
| 1053515536 | William Dale Slovak | Technician/Technologist | 520 Spotsylvania Mall, Fredericksburg, VA 22407-1122 | 2007-06-11 |
| 1942323449 | William Wayne Amyx | Technician/Technologist | 3801 Plank Rd Ste B, 3801-b Plank Road, Fredericksburg, VA 22407-7124 | 2007-04-09 |
| 1487723185 | Evelyn Kay Hancock | Technician/Technologist | 207 E San Antonio St, Fredericksburg, TX 78624-4137 | 2006-11-07 |
| 1508234253 | Antoun Henein | Technician/Technologist | 440 Spotsylvania Mall, Fredericksburg, VA 22407-1123 | 2015-09-11 |
| 1487880423 | Janice Suzanne Eshelman | Technician/Technologist | 440 Spotsylvania Towne Centre, Fredericksburg, VA 22407-1123 | 2009-06-04 |
| 1003998121 | Wal-mart Stores East, Lp | Technician/Technologist | 10001 Southpoint Pkwy, Fredericksburg, VA 22407-2700 | 2006-10-19 |
| 1861583817 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1435 E Main St, Fredericksburg, TX 78624-5273 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1235687542 | Wal-mart Stores East, Lp | Technician/Technologist | 16032 Fifteen Mile Boulevard, Abingdon, VA 24211-0000 | 2016-09-15 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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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.