National Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1434 Issued in VA

Legal business name

NATIONAL OPTICAL

Practice address

4135 Franklin Rd
Roanoke, VA 24018-5703

Phone

(540) 776-2933

Fax

(540) 776-2932

NPI assigned

Jun 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Keith Martin, LDO

Title

Manager

Phone

(540) 776-2933

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

National Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• National Optical

  • Optician
  • Vinton, VA
  • NPI 1407823438
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leon Boro

  • Optician
  • Roanoke, VA
  • NPI 1649470154
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1982863684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 FRANKLIN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185703",
            "telephone_number": "540-776-2933",
            "fax_number": "540-776-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 FRANKLIN RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240185703",
            "telephone_number": "540-776-2933",
            "fax_number": "540-776-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-776-2933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009280529",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "VA1425",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "05098",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "079880",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "5678",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Nasrallah, MA
• Letitia Joy Juday Nassar, PA-C
• Geeta Nathan, MD
• National Counseling Group, Inc
• National Optical
• National Optometric Center
• National Optometric Center PLC
• National Therapy Centers
• National Vision, Inc.
• Feryal Nauman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.