Individual
DR. DIMPLE KAPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25055 RIDING PLZ STE 100, CHANTILLY, VA 20152-5918
(703) 961-9119
(703) 961-9230
Mailing address
25055 RIDING PLZ STE 100, CHANTILLY, VA 20152-5918
(703) 957-3384
(703) 961-9230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001301
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001301
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618001301
VA
152WP0200X
Pediatric Optometrist
0618001301
VA
152WS0006X
Sports Vision Optometrist
0618001301
VA
152WV0400X
Vision Therapy Optometrist
0618001301
VA
152WX0102X
Occupational Vision Optometrist
0618001301
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173375
ANTHEM
VA
01
—
2131697
UNITED HEALTH CARE
VA
01
—
2286069
FIRST HEALTH
VA
01
—
3790430
AETNA
VA
01
—
412132083
GREATWEST
VA
01
—
692491
NCPPO
VA
01
—
9364952
GUARDIAN
VA
01
—
J701-0002
BCBS CAREFIRST
VA
01
—
J701-0020
BCBS CAREFIRST
VA
Enumeration date
07/12/2006
Last updated
02/11/2022
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