VISTAR EYE CENTER, INC (NPI# 1184140618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184140618 |
| Entity Type | Organization |
| Organization Name | VISTAR EYE CENTER, INC |
| Practice Address |
749 E Church St Martinsville VA 24112-3106 |
| Mailing Address |
Po Box 1789 Roanoke VA 24008-1789 |
| Practice Telephone | 2766327205 |
| Practice Fax Number | 2766326366 |
| Mailing Telephone | 2766327205 |
| Mailing Fax Number | 2766326366 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | STACI ELAINE RUNYON (MANAGED CARE) |
| Authorized Official Telephone | 5408553554 |
| Is Organization Subpart | Y |
| Parent Organization Name | VISTAR EYE CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 0618001837 | VA | Eye and Vision Services Providers |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| 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 |
| 1841633831 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 280 Westlake Rd, Professional Park Building#2, Hardy, VA 24101-3967 | 2013-04-10 |
| 1871028209 | Vistar Eye Center, Inc | Optometrist | 395 S Main St, Rocky Mount, VA 24151-1710 | 2017-04-24 |
| 1275777658 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 426 W Main St, Salem, VA 24153-3610 | 2009-04-29 |
| 1225272784 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 375 Hershberger Rd, Roanoke, VA 24012-1983 | 2009-04-28 |
| 1457323545 | Vistar Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 707 S Jefferson St, Roanoke, VA 24016-5100 | 2006-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VISTAR EYE CENTER, INC. | 707 S Jefferson St, Roanoke, VA 24016-5100 |
| Street Address |
749 E CHURCH ST |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255304556 | Eye Physicians and Surgeons of Martinsville Inc | Ophthalmology | 749 E Church St, Suite A, Martinsville, VA 24112-3106 | 2006-02-08 |
| 1508830860 | Donald William Richman | Ophthalmology | 749 E Church St, Ste A, Martinsville, VA 24112-3106 | 2006-02-14 |
| 1225001340 | Donald Michael Grayson | Ophthalmology | 749 E Church St, Suite A, Martinsville, VA 24112-3106 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1710429592 | Wimmer Optical | Eyewear Supplier (Equipment, not the service) | 730 E Church St Ste 22, Martinsville, VA 24112-3151 | 2016-11-10 |
| 1215001649 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 240 Commonwealth Bl, Liberty Fair Mall, Martinsville, VA 24112-1800 | 2006-11-18 |
| 1619148145 | Crosstown Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 990 S Marion St, Martinsville, IN 46151-2438 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224651 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7378 Bell Creek Rd, Mechanicsville, VA 23111-3545 | 2020-10-26 |
| 1689272650 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6607 Wilson Blvd, Falls Church, VA 22044-3311 | 2020-10-13 |
| 1588262729 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2000 Power Plant Pkwy, Hampton, VA 23666-3155 | 2020-10-10 |
| 1760098370 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 14123 Noblewood Plz, Woodbridge, VA 22193-1400 | 2020-09-18 |
| 1134772023 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1449 Tomcat Blvd Bldg 292, Virginia Beach, VA 23460-2177 | 2019-07-19 |
| 1740841444 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2920 District Ave Ste 130, Fairfax, VA 22031-4481 | 2019-06-24 |
| 1093371841 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4238 Wilson Blvd Ste 1220, Arlington, VA 22203-1833 | 2019-05-17 |
| 1407411770 | Focus Optical Boutique LLC | Eyewear Supplier (Equipment, not the service) | 232 Mason Ave, Cape Charles, VA 23310 | 2019-05-02 |
| 1821557752 | Dhls Optical, LLC | Eyewear Supplier (Equipment, not the service) | 6343 Columbia Pike, Falls Church, VA 22041-1243 | 2019-03-19 |
| 1639646987 | Infinity Eyecare of Danville Inc. | Eyewear Supplier (Equipment, not the service) | 349 Piney Forest Rd Ste A, Danville, VA 24540-4121 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.