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BLUE RIDGE OPTICAL NPI 1063689834


NPI Information

NPI: 1063689834
Provider Name: BLUE RIDGE OPTICAL
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
33 BRITISH WOODS DR
1960 ELECTRIC ROAD
ROANOKE, VA
ZIP 24019
Phone: (540) 992-6797
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BLUE RIDGE OPTICAL is an eyewear supplier in Roanoke, VA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BLUE RIDGE OPTICAL NPI is 1063689834. The provider is registered as an organization entity type.

The provider's business location address is:

33 BRITISH WOODS DR
1960 ELECTRIC ROAD
ROANOKE, VA
ZIP 24019-267
Phone: (540) 992-6797

The provider's authorized official is Christopher Clark .
The authorized official title is Manager/licensed Optician and has the following contact phone number (540) 776-9722.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier1101 000964VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1OP2378OTHERVIRGINIAEYEMED VISION CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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