Blue Ridge Optical in Roanoke - Eyewear Supplier
Blue Ridge Optical - NPI 1063689834
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 1063689834. The last update date is 2015-06-15.
Blue Ridge Optical's current location address is 33 British Woods Dr, Roanoke, Virginia. You can contact this provider via phone number 5409926797. The mailing address for Blue Ridge Optical is 33 British Woods Dr, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Ridge Optical |
|---|---|
| Address | 33 British Woods Dr, Roanoke, Virginia |
| Phone Number | 5409926797 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER/LI |
|---|---|
| Authorized Official Name | Clark Christopher |
| Telephone Number | 5407769722 |
NPI Number Detail
| NPI Number | 1063689834 |
|---|---|
| Provider Enumeration Date | 2008-05-12 |
| Last Updated Date | 2015-06-15 |
Provider Mailing Address Detail
| Address | 33 British Woods Dr |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240198267 |
| Phone Number | 5409926797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 1101 000964 |
|
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 |
|---|---|---|---|
| OP2378 | VA | EYEMED VISION CARE |
Post Comment/ Review Below
What is the unique identifier code issued to Blue Ridge Optical by the Centers for Medicare & Medicaid Services (CMS)?
The Blue Ridge Optical has been assigned the NPI (National Provider Identifier) 1063689834. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Blue Ridge Optical?
The Blue Ridge Optical is physically situated at 33 British Woods Dr, in the city of Roanoke, state of VA, with the postal code 240198267.
What is Blue Ridge Optical's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Blue Ridge Optical is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.
On what date did the Blue Ridge Optical receive its 1063689834 assignment from the Centers for Medicare & Medicaid Services?
The Blue Ridge Optical was assigned its 1063689834 by the Centers for Medicare & Medicaid Services on 2008-05-12.
As of what date was the information regarding Blue Ridge Optical, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Blue Ridge Optical, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-06-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY