DRS. GARDNER & VELOSO NPI 1215101126

NPI Information

NPI: 1215101126
Provider Name: DRS. GARDNER & VELOSO
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
307 1ST ST SW
ROANOKE, VA
ZIP 24011
Phone: (540) 342-6294
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DRS. GARDNER & VELOSO 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. DRS. GARDNER & VELOSO NPI is 1215101126. The provider is registered as an organization entity type.

The provider's business location address is:

307 1ST ST SW
ROANOKE, VA
ZIP 24011-901
Phone: (540) 342-6294
Fax: (540) 342-8201

The provider's authorized official is Ashley C. Veloso .
The authorized official title is Doctor/owner and has the following contact phone number (540) 342-6294.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 8/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site		0618001002	VIRGINIA	No
2	332H00000X	Eyewear Supplier		0618001002	VIRGINIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	9232249	MEDICAID	VIRGINIA
2	0459760001	MEDICARE NSC	VIRGINIA
3	410001159	MEDICARE PIN	VIRGINIA

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

NPI Synchronization or Removal

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