NPIMap

Organization Active NPI

Dilzer Eye Care Associates, P.C.

  • Optometrist
  • Purcellville, VA
National Provider Identifier
1871615542
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000662 Issued in VA
Legal business name
DILZER EYE CARE ASSOCIATES, P.C.
Practice address
530 E Main St
Purcellville, VA 20132-3171
Phone
(540) 338-1833
Fax
(540) 338-3791
NPI assigned
Apr 4, 2007
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Donald Scott Dilzer, O.D.NPI 1073614780
Title
Doctor of Optometry
Phone
(540) 338-1833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000662 VA Primary

Addresses

Primary practice location

530 E Main St
Purcellville, VA 20132-3171

Mailing address

530 E Main St
Purcellville, VA 20132-3171
Phone (540) 338-1833

Other identifiers 2

IdentifierTypeStateIssuer
223707OtherVAANTHEM BLUE CROSS AND BLUE SHIELD PROVIDER ID
C05683OtherVAMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101012000715 VA Part B Supplier - Clinic/Group Practice 6709907454 Receives reassigned benefits from 4 practitioners
Practice locations: Purcellville, VA

National Provider Directory

National Provider Directory

Locations

530 E Main St
Purcellville, VA 20132
Phone (540) 338-1833

Practitioners & affiliated clinicians

Practitioners 5

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1871615542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323171",
            "telephone_number": "540-338-1833",
            "fax_number": "540-338-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323171",
            "telephone_number": "540-338-1833",
            "fax_number": "540-338-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILZER EYE CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "DILZER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "540-338-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD PROVIDER ID",
            "identifier": "223707",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "C05683",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.