BOOTHE FAMILY VISION CARE (NPI# 1689836512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689836512 |
| Entity Type | Organization |
| Organization Name | BOOTHE FAMILY VISION CARE |
| Practice Address |
4524 Challenger Ave Roanoke VA 24012-7028 |
| Mailing Address |
100 Kimball Ave #e56 Salem VA 24153-6735 |
| Practice Telephone | 5409772380 |
| Practice Fax Number | 5409772382 |
| Mailing Telephone | 5403893924 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | DR. KARI HARNER BOOTHE (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5403893924 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4524 CHALLENGER AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-7028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851310866 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4524 Challenger Ave, Roanoke, VA 24012-7028 | 2006-07-19 |
| 1447850532 | Krishna K Mandava | Pharmacist | 4524 Challenger Ave, Roanoke, VA 24012-7028 | 2020-10-28 |
| 1750981106 | Natasha Renee Fuller | Pharmacist | 4524 Challenger Ave, Roanoke, VA 24012-7028 | 2020-10-27 |
| 1326373838 | Lewis Eye Care Pllc | Optometrist | 4524 Challenger Ave, Attn: Dr. Lewis, Roanoke, VA 24012-7028 | 2009-10-16 |
| 1891885497 | Wal-mart Stores East, Lp | Technician/Technologist | 4524 Challenger Ave, Roanoke, VA 24012-7028 | 2006-10-13 |
| 1104923242 | Dr. Tracy Scheibe, Optometrist, P.C. | Optometrist | 4524 Challenger Ave, Roanoke, VA 24012-7028 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1134333990 | Tlc Vc, LLC | Clinic/Center | 3800 Electric Rd, Ste. 307, Roanoke, VA 24018-4569 | 2007-05-10 |
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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.