VISTAR EYE CENTER (NPI# 1043354962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043354962 |
| Entity Type | Organization |
| Organization Name | VISTAR EYE CENTER |
| Practice Address |
707 S Jefferson St Roanoke VA 24016-5100 |
| Mailing Address |
Po Box 1789 Roanoke VA 24008-1789 |
| Practice Telephone | 5403444000 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY P COWAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5408555139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DME PROVIDER NUMBER | 0976160001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295979672 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 3320 Franklin Rd Sw, Roanoke, VA 24014-1310 | 2009-04-29 |
| 1740424126 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2009-04-29 |
| 1003050485 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 70 Summerfield Ct, Roanoke, VA 24019-4579 | 2009-04-29 |
| 1508874371 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2006-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VISTAR EYE CENTER INC. | 707 S Jefferson St, Po Box 1789, Roanoke, Virginia 24016-5100 |
| System for Award Management (SAM) Entities | VISTAR EYE CENTER, INC. | 707 S Jefferson St, Roanoke, VA 24016-5100 |
| Street Address |
707 S JEFFERSON ST |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254701 | Chad Albright | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2005-06-02 |
| 1083972913 | Tad Douglas Schoedel | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2012-04-29 |
| 1073888244 | Karli Spetzler Griffeth | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2012-03-20 |
| 1629205232 | Emma-catherine Hix Ali | Optometrist | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2009-06-22 |
| 1104008226 | Nicholas Adam Ramey | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2007-11-30 |
| 1417155771 | Joseph Stuart Tims | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2007-07-10 |
| 1508874371 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2006-08-04 |
| 1457323545 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2006-02-03 |
| 1407851348 | Marion Kemper Humphries IIi | Specialist | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2005-06-16 |
| 1558366625 | Donald John Race | Ophthalmology | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2005-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538224 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 1819 Electric Rd Ste 1a, Roanoke, VA 24018-1618 | 2018-05-16 |
| 1174854616 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 4812 Valley View Mall, Roanoke, VA 24019-7004 | 2010-01-22 |
| 1063689834 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 33 British Woods Dr, 1960 Electric Road, Roanoke, VA 24019-8267 | 2008-05-12 |
| 1174717722 | Merricks Optical Inc | Eyewear Supplier (Equipment, not the service) | 3405 Brambleton Avenue, Roanoke, VA 24018-6519 | 2007-08-28 |
| 1275735870 | Eye Designs Optical | Eyewear Supplier (Equipment, not the service) | 1227 Maple Ave Sw, Roanoke, VA 24016-4707 | 2007-06-05 |
| 1669680799 | Southeastern Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 6490 Commonwealth Dr, Roanoke, VA 24018-5159 | 2007-05-21 |
| 1700931102 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4822 Valley View Blvd Nw Ste C, Roanoke, VA 24012-2046 | 2007-01-24 |
| 1629132725 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4750 Valley View Blvd Nw Ste 40, Roanoke, VA 24012-2026 | 2006-12-21 |
| 1376617704 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4812 Valley View Blvd Nw, Roanoke, VA 24012-2018 | 2006-11-18 |
| 1952472268 | Pearle Vision Inc. | Eyewear Supplier (Equipment, not the service) | 4385 Electric Rd, Roanoke, VA 24018-0721 | 2006-11-10 |
| 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.