VISTAR EYE CENTER NPI 1003050485

NPI Information

  • NPI: 1003050485
  • Provider Name: VISTAR EYE CENTER
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 70 SUMMERFIELD CT
    ROANOKE, VA
    ZIP 24019
  • Phone: (540) 855-5139

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NPI Details

VISTAR EYE CENTER 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. VISTAR EYE CENTER NPI is 1003050485. The provider is registered as an organization entity type.

The provider's business location address is:

70 SUMMERFIELD CT
ROANOKE, VA
ZIP 24019-579
Phone: (540) 855-5139
Fax: (540) 342-4373

The provider's authorized official is Kathy P Cowan .
The authorized official title is Administrator and has the following contact phone number (540) 855-5123.

The enumeration date for this NPI number is 4/29/2009 and was last updated on 7/23/2009.

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
1332H00000XEyewear Supplier3699VIRGINIAYes

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 Other Provider Identifier Issuer
10796160002MEDICARE NSCVIRGINIA

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: 3/30/2025

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