MR. LYNN CARLTON VIA


Address: 3555-a Electric Rd, Roanoke, VA 24018
Phone: 5409895036

MR. LYNN CARLTON VIA (NPI# 1851441398) 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) 1851441398
Entity Type Individual
Full Name MR. LYNN CARLTON VIA
Credential OPTICIAN
Practice Address 3555-a Electric Rd
Roanoke
VA 24018
Mailing Address 2513 Mount Vernon Rd Sw
Roanoke
VA 24015-3619
Practice Telephone 5409895036
Practice Fax Number 5409891353
Mailing Telephone 5403449922
Enumeration Date 2007-01-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1101 001046 VA Eye and Vision Services Providers

Office Location

Street Address 3555-A ELECTRIC RD
City ROANOKE
State VA
Zip Code 24018

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1164938619 Aurora Domangue Behavior Technician 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 2017-12-20
1376059089 Maggie Marie Ridgeway Behavior Technician 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 2017-12-18
1700301850 Nicole Graboski Speech-Language Pathologist 4920 Woodmar Drive Sw, Roanoke, VA 24018 2017-08-10
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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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1568545283 Diane N Etter Technician/Technologist 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 2006-10-24
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
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City ROANOKE
Zip Code 24018

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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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