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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101002145 | VA | Eye and Vision Services Providers |
Street Address |
207 E. RUSH STREET |
City | BROOKNEAL |
State | VA |
Zip Code | 24528-0100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982166047 | Dustin Keller Enterprises LLC | Durable Medical Equipment & Medical Supplies | 1547 Red Bottom Rd, Brookneal, VA 24528 | 2019-04-05 |
1467570168 | Johnson Health Center | Clinic/Center | 104 Carolina Avenue, Brookneal, VA 24528 | 2007-03-27 |
1174626816 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 240-b Lusardi Drive, Brookneal, VA 24528 | 2006-09-07 |
1366413908 | Richard Lee Fisher Sr. | Dentist | 215 A Main Street, Brookneal, VA 24528 | 2006-01-31 |
1497935753 | Team Nurse, Inc. | Case Management | 330 Main Street, Brookneal, VA 24528 | 2007-11-05 |
1336150887 | William L Drake Jr. | Dentist | 258 Main St, Brookneal, VA 24528 | 2006-08-10 |
1831224302 | Brookneal Drug Co Inc | Durable Medical Equipment & Medical Supplies | 120 Rush Street, Pharmacy, Brookneal, VA 24528-0066 | 2007-02-23 |
1295725455 | Brookneal Life Care Corp | Skilled Nursing Facility | 633 Cook Ave, Brookneal, VA 24528-1470 | 2005-10-27 |
1861499493 | Donald E. Carwile | Family Medicine | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2005-06-28 |
1609397462 | Kimberly Diane Altizer | Nurse Practitioner | 104 Carolina Ave, Brookneal, VA 24528-2643 | 2017-07-03 |
Find all providers in zip 24528 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
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 |
1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
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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.