Individual
DR. CAROL DIBBLE RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1450 SACHEM PL, STE 202, CHARLOTTESVILLE, VA 22901-2554
(434) 978-4090
(434) 978-1005
Mailing address
1450 SACHEM PL, STE 202, CHARLOTTESVILLE, VA 22901-2554
(434) 978-4090
(434) 978-1005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000232
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
ANTHEM BC/BS, SACHEM
VA
01
—
186515
ANTHEM BC/BS PJP OFFICE
VA
Enumeration date
06/14/2006
Last updated
07/28/2010
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