Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael J Deiboldt, OD

Individual provider Optometrist · NPI 1083705826

Michael J Deiboldt, OD is an Optometry in Winchester, Virginia. Graduated from Illinois College of Optometry at Chicago in 1999, 27 years ago. Practices with Blue Ridge Eye Specialists PC, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
27
Trained at
Illinois College of Optometry at Chicago
Licensed in
VA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

420 W Jubal Early Dr Ste 200
Winchester, VA 22601-6435
Phone: (540) 662-2700
Fax: (540) 662-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0681800575 (VA)

Record details

NPI number1083705826
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022
Mailing address420 W Jubal Early Dr Ste 200, Winchester, VA 22601-6435

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1999 (27 years in practice)
Group practice Blue Ridge Eye Specialists Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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