Blue Ridge Optical
Organization Active NPI Eyewear Supplier · Roanoke, VA
NPI 1639192594 · NPPES record last updated Jun 15, 2015
Key facts
- NPI
- 1639192594
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- BLUE RIDGE OPTICAL
- Practice address
- 1960 Electric Rd
Roanoke, VA 24018-1621 - Phone
- (540) 776-9722
- Fax
- (504) 776-5119
- NPI assigned
- Jul 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BLUE RIDGE OPTICAL, INC.
Authorized official
- Name
- Christopher M Clark, VA, LICENSEDOPTICIAN
- Title
- Manager
- Phone
- (540) 776-9722
Parent organization (reported in NPPES) 1
Practitioners 1
-
Carey William Robinson, M.D.
National Provider Directory
- Part of
- Blue Ridge Optical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | VA | Yes |
Addresses
Primary practice location
1960 Electric Rd
Roanoke, VA 24018-1621
Mailing address
1960 Electric Rd
Roanoke, VA 24018-1621
Phone (540) 776-9722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452898 | Other | VA | ANTHEM |
| 92-8062-6 | Medicaid | VA |
Other providers in Roanoke, VA
- Blue Ridge Healthcare Partners, LLC
- Blue Ridge Independent Living Center Inc
- Blue Ridge Mind and Wellness
- Blue Ridge Mind and Wellness PLLC
- Blue Ridge Optical
- Blue Ridge Optical
- Blue Ridge Physical Medicine
- Blue Ridge Telehealth
- Blue Ridge Urogynecology, Inc
- Blue Ridge Vascular & Endovascular Institute LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2015. 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.