BROOKNEAL OPTICAL, INC


Address: 207 E. Rush Street, Brookneal, VA 24528-0100
Phone: 4343763937

BROOKNEAL OPTICAL, INC (NPI# 1285667469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285667469
Entity Type Organization
Organization Name BROOKNEAL OPTICAL, INC
Practice Address 207 E. Rush Street
Brookneal
VA 24528-0100
Mailing Address 207 E. Rush Street
P.o. Box 100
Brookneal
VA 24528-0100
Practice Telephone 4343763937
Practice Fax Number 4343763937
Mailing Telephone 4343763937
Mailing Fax Number 4343763937
Enumeration Date 2006-07-09
Last Update Date 2020-08-22
Authorized Official Name MR. MARK ALAN KRAMER (PRESIDENT/REGISTERED OPTICAL)
Authorized Official Telephone 4348210268
Authorized Official Credential R.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1101002145 VA Eye and Vision Services Providers

Office Location

Street Address 207 E. RUSH STREET
City BROOKNEAL
State VA
Zip Code 24528-0100

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1548774425 Dean Diffenbaugh Technician/Technologist 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 2017-11-29
1447761408 David Morris Lambert Technician/Technologist 904 N 1st St Ste 100, Richmond, VA 23219-1000 2017-10-17
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Competitor

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City BROOKNEAL
Zip Code 24528

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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