Provider Demographics
NPI:1518190677
Name:CIOARA, ALICE (OD)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:
Last Name:CIOARA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 COMMUNITY WAY
Mailing Address - Street 2:APT 333
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4983
Mailing Address - Country:US
Mailing Address - Phone:954-864-6510
Mailing Address - Fax:
Practice Address - Street 1:1638 E RIO RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1405
Practice Address - Country:US
Practice Address - Phone:434-973-7996
Practice Address - Fax:434-973-7992
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1758DT152W00000X
FLOPC 4434152W00000X
VA0618001900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist