BLUE RIDGE OPTICAL NPI 1205215001

NPI Information

BLUE RIDGE OPTICAL is an optician technician technologist in Blacksburg, VA. BLUE RIDGE OPTICAL NPI is 1205215001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 PROFESSIONAL PARK DR SE
SUITE 6
BLACKSBURG, VA
ZIP 24060-735
Phone: (540) 552-4588
Fax: (540) 552-4612

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

The CLIA number assigned to this NPI record is 49D0974011 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 5/26/2015.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.