Individual provider Active NPI

Alice Cioara, O.D.

  • Optometrist
  • Charlottesville, VA
National Provider Identifier
1518190677
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001900 Issued in VA
Practice address
1638 E Rio Rd
Charlottesville, VA 22901-1405
Phone
(434) 973-7996
Fax
(434) 973-7992
NPI assigned
Aug 24, 2009
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1758DT KY
Optometrist 152W00000X OPC 4434 FL
Optometrist 152W00000X 0618001900 VA Primary

Addresses

Primary practice location

1638 E Rio Rd
Charlottesville, VA 22901-1405

Mailing address

107 Community Way
Apt 333
Staunton, VA 24401-4983
Phone (954) 864-6510

Other practice location 1

11662 N Kendall Dr
Miami, FL 33176-1005
Phone (305) 279-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210727001445 FL Practitioner - Optometry 0840691770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4434FLMDOptometrist
1758DTKYMDOptometrist
0618001900VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C-Luminous Eyecare, Inc. Current Accepting new patients

Locations

1638 Rio Road East
Charlottesvle, VA 22901
Phone (434) 973-7766

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1518190677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMUNITY WAY",
            "address_2": "APT 333",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244014983",
            "telephone_number": "954-864-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 E RIO RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011405",
            "telephone_number": "434-973-7996",
            "fax_number": "434-973-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11662 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761005",
            "country_code": "US",
            "telephone_number": "305-279-6404",
            "fax_number": "305-595-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIOARA",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1758DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4434",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.