Individual provider Active NPI

Michael Joseph Digirolamo, O.D.

  • Optometrist
  • Charlottesville, VA
National Provider Identifier
1144202797
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000038 Issued in VA
Practice address
2685 Cardinal Ridge Rd
Charlottesville, VA 22901-8810
Phone
(434) 977-6377
Fax
(434) 296-3100
NPI assigned
Nov 18, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000038 VA Primary

Addresses

Primary practice location

2685 Cardinal Ridge Rd
Charlottesville, VA 22901-8810

Mailing address

2685 Cardinal Ridge Rd
Charlottesville, VA 22901-8810
Phone (434) 977-6377

Other practice location 1

2159 Barracks Rd
Charlottesville, VA 22903-4812
Phone (434) 977-2020

Other identifiers 1

IdentifierTypeStateIssuer
0618000038OtherVAVIRGINIA - TPA OPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0618000038VAMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144202797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 CARDINAL RIDGE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018810",
            "telephone_number": "434-977-6377",
            "fax_number": "434-296-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 CARDINAL RIDGE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018810",
            "telephone_number": "434-977-6377",
            "fax_number": "434-296-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2159 Barracks Rd",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034812",
            "country_code": "US",
            "telephone_number": "434-977-2020",
            "fax_number": "434-977-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIROLAMO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA  - TPA OPTOMETRY LICENSE",
            "identifier": "0618000038",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.