Organization Active NPI

Star City Eye Care

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1629464037
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STAR CITY EYE CARE
Practice address
4822 Valley View Blvd NW
Ste C
Roanoke, VA 24012-2025
Phone
(614) 657-9602
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Francis M Manuguerra
Title
Cfo
Phone
(614) 657-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4822 Valley View Blvd NW
Ste C
Roanoke, VA 24012-2025

Mailing address

4822 Valley View Blvd NW
Ste C
Roanoke, VA 24012-2025
Phone (614) 657-9602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1629464037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 VALLEY VIEW BLVD NW",
            "address_2": "STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122025",
            "telephone_number": "614-657-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 VALLEY VIEW BLVD NW",
            "address_2": "STE C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122025",
            "telephone_number": "614-657-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CITY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MANUGUERRA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-657-9602"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.