BLUE RIDGE OPTICAL (NPI# 1063689834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063689834 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE OPTICAL |
| Practice Address |
33 British Woods Dr 1960 Electric Road Roanoke VA 24019-8267 |
| Practice Telephone | 5409926797 |
| Mailing Telephone | 5409926797 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | MR. CHRISTOPHER CLARK (MANAGER/LICENSED OPTICIAN) |
| Authorized Official Telephone | 5407769722 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLUE RIDGE OPTICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1101 000964 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | EYEMED VISION CARE | OP2378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1508898057 | Blue Ridge Optical | Technician/Technologist | 13295 Booker T Washington Hwy, Hardy, VA 24101-3947 | 2006-07-07 |
| 1205215001 | Blue Ridge Optical | Technician/Technologist | 110 Professional Park Dr Se, Suite 6, Blacksburg, VA 24060-6735 | 2015-05-26 |
| 1639192594 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2006-07-25 |
| Street Address |
33 BRITISH WOODS DR 1960 ELECTRIC ROAD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-8267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| 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 |
| 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 |
| 1235178625 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4807 Valley View Blvd Nw, Roanoke, VA 24012-2018 | 2006-06-04 |
| 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.