Christopher R Deibert, OD

Individual provider Active NPI Optometrist · Luray, VA

NPI 1215035795 · NPPES record last updated Sep 3, 2025

Key facts

NPI
1215035795
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
0620000029 (VA)
Practice address
30 Cottage Dr
Luray, VA 22835-9201
Phone
(540) 743-5670
Fax
(540) 743-2342
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye Clinic PC (2 clinicians)

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100 (individual)
Quality
74.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090126000625 VA Practitioner - Optometry 9234293804 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0620000029VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Clinic PC Optometrist Current
since Sep 1, 1990
Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: chris.deibert@direct.revolutionehr.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0620000029 VA Yes

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

IdentifierTypeStateIssuer
009230343MedicaidVA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2025.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1215035795",
    "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": {
        "last_name": "DEIBERT",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0620000029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009230343",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luray, VA

All providers in Luray, VA · Optometrist in Virginia

Sources for this page

Verify at the official NPI Registry.