Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0618000413 | VA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 0618000413 | VA |
N | 152WS0006X | Sports Vision | 0618000413 | VA |
N | 152WX0102X | Occupational Vision | 0618000413 | VA |
NPI | 1194795328 |
---|---|
Provider Name | Dr. Cristy Stocks Dehoff |
First Address | Chesterfield, VA 23832 |
Second Address | Chesterfield, VA 23832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 30/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009232770 | (05) | VA |
20464 | CIGNA (01) | VA |
2200095 | UNITED HEALTHCARE (01) | VA |
222912 | ANTHEM BCBS (01) | VA |
2843537 | AETNA HMO (01) | VA |
7471353 | AETNA PPO (01) | VA |
U61257 | (02) | VA |