Individual provider Active NPI

Cristy Stocks Dehoff, O.D.

  • Optometrist
  • Chesterfield, VA
National Provider Identifier
1194795328
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000413 Issued in VA
Practice address
9440 Ironbridge Road
Chesterfield, VA 23832
Phone
(804) 748-4877
Fax
(804) 796-9168
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000413 VA Primary
Corneal and Contact Management Optometrist 152WC0802X 0618000413 VA
Sports Vision Optometrist 152WS0006X 0618000413 VA
Occupational Vision Optometrist 152WX0102X 0618000413 VA

Addresses

Primary practice location

9440 Ironbridge Road
Chesterfield, VA 23832

Mailing address

9440 Ironbridge Road
PO Box 1118
Chesterfield, VA 23832
Phone (804) 748-4877

Other identifiers 6

IdentifierTypeStateIssuer
222912OtherVAANTHEM BCBS
2843537OtherVAAETNA HMO
20464OtherVACIGNA
7471353OtherVAAETNA PPO
2200095OtherVAUNITED HEALTHCARE
009232770MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040709001147 VA Practitioner - Optometry 0547248114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Optometric Center, PCGroup PAC ID 9931097615, 5 clinicians

Practice addresses (Care Compare)

9440 Iron Bridge Rd
Chesterfield, VA 23832-6601
Phone 8047484877151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000413VAMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Optometric Center, PC Optometrist CurrentSince Apr 15, 1997 Accepting new patients

Locations

9440 Iron Bridge Rd
Chesterfield, VA 23832
Phone 8047484877 ext. 181

9440 Iron Bridge Rd
Ofc
Chesterfield, VA 23832

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1194795328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 IRONBRIDGE ROAD",
            "address_2": "PO BOX 1118",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "804-748-4877",
            "fax_number": "804-796-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 IRONBRIDGE ROAD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "804-748-4877",
            "fax_number": "804-796-9168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHOFF",
        "first_name": "CRISTY",
        "middle_name": "STOCKS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000413",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000413",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "VA",
            "license": "0618000413",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "VA",
            "license": "0618000413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "222912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2843537",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "20464",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7471353",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200095",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009232770",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.