Blue Ridge Optical in Roanoke - Eyewear Supplier
Blue Ridge Optical - NPI 1639192594
Blue Ridge Optical is a Eyewear Supplier in Roanoke, Virginia. Blue Ridge Optical practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Blue Ridge Optical is 1639192594. The last update date is 2015-06-15.
Blue Ridge Optical's current location address is 1960 Electric Rd, Roanoke, Virginia. You can contact this provider via phone number 5407769722 and fax number 5047765119. The mailing address for Blue Ridge Optical is 1960 Electric Rd, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Ridge Optical |
|---|---|
| Address | 1960 Electric Rd, Roanoke, Virginia |
| Phone Number | 5407769722 |
| Fax Number | 5047765119 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Clark M Christopher |
| Credentials | VA, LICENS |
| Telephone Number | 5407769722 |
NPI Number Detail
| NPI Number | 1639192594 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
| Address | 1960 Electric Rd |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240181621 |
| Phone Number | 5407769722 |
| Fax Number | 5047765119 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 452898 | VA | ANTHEM | |
| 92-8062-6 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Blue Ridge Optical?
The Blue Ridge Optical has been issued the NPI (National Provider Identifier) 1639192594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Blue Ridge Optical's facilities are situated?
The facilities of Blue Ridge Optical are physically located at the following address: 1960 Electric Rd, Roanoke, VA, 240181621.
What is the area of specialization for Blue Ridge Optical, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Blue Ridge Optical is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 332H00000X.
On what date did the Blue Ridge Optical receive its 1639192594 assignment from the Centers for Medicare & Medicaid Services?
The Blue Ridge Optical was assigned its 1639192594 by the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information regarding Blue Ridge Optical, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blue Ridge Optical, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-15.