Active NPI
Michael Joseph Digirolamo, O.D.
- Optometrist
- Charlottesville, VA
National Provider Identifier
1144202797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000038
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0618000038 | Other | VA | VIRGINIA - 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000038 | VA | MD | Optometrist |
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.