BLUE RIDGE OPTICAL (NPI# 1902415730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902415730 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE OPTICAL |
| Practice Address |
4910 Valley View Blvd Nw Ste 110 Roanoke VA 24012-2022 |
| Mailing Address |
1960 Electric Rd Ste B Roanoke VA 24018-1601 |
| Practice Telephone | 5406320900 |
| Practice Fax Number | 5406275418 |
| Mailing Telephone | 5407769722 |
| Mailing Fax Number | 5406275418 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | MR. CHRISTOPHER M CLARK (MANAGER) |
| Authorized Official Telephone | 5407769722 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE RIDGE OPTICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063689834 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 33 British Woods Dr, 1960 Electric Road, Roanoke, VA 24019-8267 | 2008-05-12 |
| 1508898057 | Blue Ridge Optical | Technician/Technologist | 13295 Booker T Washington Hwy, Hardy, VA 24101-3947 | 2006-07-07 |
| 1205215001 | Blue Ridge Optical | Technician/Technologist | 110 Professional Park Dr Se, Suite 6, Blacksburg, VA 24060-6735 | 2015-05-26 |
| 1639192594 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2006-07-25 |
| Street Address |
4910 VALLEY VIEW BLVD NW STE 110 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-2022 |
| 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 | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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.