NPIMap

Organization Active NPI

Blue Ridge Optical

  • Optician
  • Hardy, VA
National Provider Identifier
1508898057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101 001548 Issued in VA
Legal business name
BLUE RIDGE OPTICAL
Practice address
13295 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone
(540) 721-7200
NPI assigned
Jul 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kristen Jana Calhoun
Title
Lic. Optician
Phone
(540) 721-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 1101 001548 VA Primary

Addresses

Primary practice location

13295 Booker T Washington Hwy
Hardy, VA 24101-3947

Mailing address

13295 Booker T Washington Hwy
Hardy, VA 24101-3947
Phone (540) 721-7200

National Provider Directory

National Provider Directory
Tax ID family
Blue Ridge Optical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13295 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 721-4433

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508898057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 BOOKER T WASHINGTON HWY",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013947",
            "telephone_number": "540-721-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 BOOKER T WASHINGTON HWY",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013947",
            "telephone_number": "540-721-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "JANA",
        "authorized_official_title_or_position": "LIC. OPTICIAN",
        "authorized_official_telephone_number": "540-721-7200"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101 001548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardy, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.