Healthcare Provider Details

I. General information

NPI: 1184893695
Provider Name (Legal Business Name): VALLEY EYE CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 COTTAGE DR
LURAY VA
22835-9201
US

IV. Provider business mailing address

30 COTTAGE DR
LURAY VA
22835-9201
US

V. Phone/Fax

Practice location:
  • Phone: 540-743-5670
  • Fax: 540-743-2342
Mailing address:
  • Phone: 540-743-5670
  • Fax: 540-743-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618000037
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRIS DEIBERT
Title or Position: OWNER/OPTOMETRIST
Credential: O.D.
Phone: 540-743-5670