Brandi Arthur, LDO
Individual provider Active NPI Optician · Ruckersville, VA
NPI 1255022166 · NPPES record last updated May 19, 2023
Key facts
- NPI
- 1255022166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 1101004344 (VA)
- Practice address
- 135 Stoneridge Dr N
Ruckersville, VA 22968-3088 - Phone
- (434) 990-0273
- Fax
- (434) 990-0945
- NPI assigned
- May 19, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101004344 | VA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1101004344 | VA | Yes |
Addresses
Primary practice location
135 Stoneridge Dr N
Ruckersville, VA 22968-3088
Mailing address
135 Stoneridge Dr N
Ruckersville, VA 22968-3088
Phone (434) 990-0273
Other providers in Ruckersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.