Michael J Deiboldt (NPI# 1083705826, PAC ID# 5991755894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083705826 |
| PAC ID by PECOS | 5991755894 |
| Professional Enrollment ID | I20050128000090 |
| Full Name | Michael J Deiboldt |
| Organization Legal Name | BLUE RIDGE EYE SPECIALISTS PC |
| Address |
420 W Jubal Early Dr Suite 200 Winchester VA 22601-6435 |
| Phone Number | 5406622700 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456301332 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 420 W Jubal Early Dr, Suite 200, Winchester, VA 22601-6435 | 5406622700 | BLUE RIDGE EYE SPECIALISTS PC |
| Organization Legal Name | BLUE RIDGE EYE SPECIALISTS PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan J Fink | Ophthalmology | Blue Ridge Eye Specialists PC | 420 W Jubal Early Dr, Suite 200, Winchester, VA 22601-6435 |
| Street Address |
420 W JUBAL EARLY DR SUITE 200 |
| City | WINCHESTER |
| State | VA |
| Zip | 22601-6435 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan J Fink | Ophthalmology | Blue Ridge Eye Specialists PC | 420 W Jubal Early Dr, Suite 200, Winchester, VA 22601-6435 |
| David K Rankin | Family Practice | 420 W Jubal Early Dr, Suite 105, Winchester, VA 22601-6319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip D Rhoads | Optometry | 40 Weems Lane, Suite B, Winchester, VA 22601 | |
| Amanda N Keatts | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Jacob Manley | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Brad Dinklocker | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Emily E Snyder | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Annetta L Haddox | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Price Coleman | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Jonathan Lester | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Alexandra M Barnes | Physical Therapy | Preventive and Rehabilitation Organization | 3127 Valley Ave, Winchester, VA 22601-2635 |
| Michael James Collins | Optometry | Winchester Optometry Pllc | 3051 Valley Ave, Suite 102, Winchester, VA 22601-2658 |
| Find all physicians in zip 22601 | |||
| City | WINCHESTER |
| Zip Code | 22601 |
| Specialty | OPTOMETRY |
| City + Specialty | WINCHESTER + OPTOMETRY |
Please comment or provide details below to improve the information on Michael J Deiboldt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.