Active NPI
Cristy Stocks Dehoff, O.D.
- Optometrist
- Chesterfield, VA
National Provider Identifier
1194795328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000413
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222912 | Other | VA | ANTHEM BCBS |
| 2843537 | Other | VA | AETNA HMO |
| 20464 | Other | VA | CIGNA |
| 7471353 | Other | VA | AETNA PPO |
| 2200095 | Other | VA | UNITED HEALTHCARE |
| 009232770 | Medicaid | VA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000413 | VA | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesterfield Optometric Center, PC | Optometrist | Current | 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.
-
- Optometrist
- Chesterfield, VA
- NPI 1477698819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.