MERRICKS OPTICAL INC (NPI# 1174717722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174717722 |
| Entity Type | Organization |
| Organization Name | MERRICKS OPTICAL INC |
| Practice Address |
3405 Brambleton Avenue Roanoke VA 24018-6519 |
| Practice Telephone | 5403442020 |
| Mailing Telephone | 5403442020 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | MR. STEPHEN ELDRIDGE MERRICKS (OPTICIAN / OWNER) |
| Authorized Official Telephone | 5403442020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1101 000531 | VA | Suppliers |
| Street Address |
3405 BRAMBLETON AVENUE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-6519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
| 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.