MRS. DIANE N ETTER (NPI# 1568545283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568545283 |
| Entity Type | Individual |
| Full Name | MRS. DIANE N ETTER |
| Credential | OPTICIAN |
| Practice Address |
2122 Colonial Ave Sw Roanoke VA 24015-3205 |
| Practice Telephone | 5403421796 |
| Mailing Telephone | 5403421796 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101000741 | VA | Eye and Vision Services Providers |
| Street Address |
2122 COLONIAL AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447670849 | Blue Ridge Apothecary Inc | Pharmacy | 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 | 2014-04-24 |
| 1285819151 | Etter Enterprises Inc | Eyewear Supplier (Equipment, not the service) | 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1518306539 | Stephen E Merricks | Technician/Technologist | 3405 Brambleton Ave, Roanoke, VA 24018-6519 | 2013-06-24 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1922339761 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1384 Towne Square Blvd Nw, Roanoke, VA 24012-1611 | 2010-01-19 |
| 1851441398 | Lynn Carlton Via | Technician/Technologist | 3555-a Electric Rd, Roanoke, VA 24018 | 2007-01-10 |
| 1740257823 | National Optical | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2006-03-07 |
| 1669951034 | Usv Optical Inc. | Technician/Technologist | 1419 Hershberger Rd Nw, Roanoke, VA 24012-2225 | 2018-08-07 |
| 1023379658 | Norma Kaye Walker | Technician/Technologist | 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 | 2012-05-30 |
| 1982863684 | National Optical | Technician/Technologist | 4135 Franklin Rd, Roanoke, VA 24018-5703 | 2008-06-06 |
| 1801063664 | Christopher M Clark | Technician/Technologist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-05-12 |
| Find all providers in ROANOKE | ||||
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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.