Roanoke Vision Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002069 Issued in VA

Legal business name

ROANOKE VISION ASSOCIATES, PC

Practice address

4524 Challenger Ave, Suite a
Roanoke, VA 24012-7028

Phone

(540) 977-1157

NPI assigned

Jan 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandon Parker Blevins, O.D.

Title

Doctor/President

Phone

(540) 977-1157

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1427329499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 CHALLENGER AVE STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127028",
            "telephone_number": "540-977-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 CHALLENGER AVE, SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240127028",
            "telephone_number": "540-977-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VISION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "540-977-1157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David L Robaczewski, MD
• Arah Katharine Robbins, D.O.
• Barton Robbins, PHARMD
• Nancy M. Robbins, R.D.

• Optometrist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.