Physician Compare National (NPI:1215035795)

HEALTHCARE PROVIDER: CHRISTOPHER R DEIBERT OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1215035795
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234293804
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090126000625
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DEIBERT
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	30 COTTAGE DR
	Group Practice or individual's line 1 address
City	LURAY
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	228359201
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y