Organization Active NPI

Valley Eye Clinic PC

  • Optometrist
  • Luray, VA
National Provider Identifier
1184893695
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000037 Issued in VA
Legal business name
VALLEY EYE CLINIC PC
Practice address
30 Cottage Dr
Luray, VA 22835-9201
Phone
(540) 743-5670
Fax
(540) 743-2342
NPI assigned
Feb 28, 2008
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Dr. Chris Deibert, O.D.
Title
Owner/Optometrist
Phone
(540) 743-5670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X 0618000037 VA Primary

Addresses

Primary practice location

30 Cottage Dr
Luray, VA 22835-9201

Mailing address

30 Cottage Dr
Luray, VA 22835-9201
Phone (540) 743-5670

Other identifiers 1

IdentifierTypeStateIssuer
009230343MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090126000635 VA Part B Supplier - Clinic/Group Practice 3678637246 Receives reassigned benefits from 2 practitioners
Practice locations: Luray, VA
O20100930008299 VA DME Supplier - Physician - OptometristDME Supplier - Optician 3678637246 Practice locations: Luray, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2060000Valley Eye Clinic, PLC30 Cottage Drive, Luray, VA 22835Certificate of waiverJun 4, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Valley Eye Clinic PC30 Cottage Dr, Luray, VA 22835-9201(540) 743-5670 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 14, 2009

National Provider Directory

National Provider Directory

Locations

30 Cottage Dr
Luray, VA 22835
Phone (540) 743-5670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1184893695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COTTAGE DR",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228359201",
            "telephone_number": "540-743-5670",
            "fax_number": "540-743-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COTTAGE DR",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228359201",
            "telephone_number": "540-743-5670",
            "fax_number": "540-743-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "DEIBERT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "540-743-5670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230343",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.