KRISTINA MARIE CREADORE (NPI# 1992321616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992321616 |
| Entity Type | Individual |
| Full Name | KRISTINA MARIE CREADORE |
| Credential | OD |
| Practice Address |
1300 Jefferson Park Ave Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349245485 |
| Practice Fax Number | 4342449436 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002903 | VA | Eye and Vision Services Providers |
| Street Address |
1300 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1588270342 | Rachel K Murray | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-09-17 |
| 1215558762 | Allison Gossen | Genetic Counselor, MS | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-05-06 |
| 1508409061 | Molly Stevenson Bailey | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1497398994 | Rebecca Shea Turner | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1215585443 | Katherine Emma Connell | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-30 |
| 1639724263 | Casey Erin Cavanagh | Psychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-09 |
| 1679128482 | Jia Yu Liu | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-08 |
| 1659837037 | Nicolas Goldaracena | Transplant Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| 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 | 22903 |
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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.