BLUE RIDGE OPTICAL (NPI# 1508898057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508898057 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE OPTICAL |
| Practice Address |
13295 Booker T Washington Hwy Hardy VA 24101-3947 |
| Practice Telephone | 5407217200 |
| Mailing Telephone | 5407217200 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTEN JANA CALHOUN (LIC. OPTICIAN) |
| Authorized Official Telephone | 5407217200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1101 001548 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9280561 | 05 |
| 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 |
| 1063689834 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 33 British Woods Dr, 1960 Electric Road, Roanoke, VA 24019-8267 | 2008-05-12 |
| 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 |
13295 BOOKER T WASHINGTON HWY |
| City | HARDY |
| State | VA |
| Zip Code | 24101-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447761697 | Premier Transport LLC | Non-emergency Medical Transport (VAN) | 12787 B.t.w. Hwy, Suite 104 #245, Hardy, VA 24101 | 2017-10-16 |
| 1487198156 | Rose Leslie Sachs | Social Worker | 99 Penick Place, Hardy, VA 24101 | 2016-12-14 |
| 1154574820 | Smil Mountain Lake Retirement Village | Assisted Living Facility | 115 Retirement Dr, Hardy, VA 24101 | 2008-10-28 |
| 1710540612 | Margaret Carter | Physical Therapist | 12970 Booker T Washington Hwy, Hardy, VA 24101 | 2019-04-16 |
| 1598006181 | Kathryn Renee Mueller | Physician Assistant | 282 Westlake Rd, Hardy, VA 24101 | 2013-03-07 |
| 1285617241 | Bradley J Goad | Internal Medicine | 12787 Booker T Washington Hwy, Ste 104 Pmb 219, Hardy, VA 24101-0017 | 2005-11-23 |
| 1568093672 | Premier Geriatric Solutions Pllc | Internal Medicine | 12787 Booker T Washington Hwy, Suite 104 #219, Hardy, VA 24101-0017 | 2020-01-28 |
| 1366751711 | Margaret Westray Campbell | Speech-Language Pathologist | 49 Lakeshore Terrace Rd, Hardy, VA 24101-3501 | 2010-10-04 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1104976000 | Bonnie Gail Lemberg | Radiology | 1240 Commonwealth Dr, Hardy, VA 24101-3785 | 2007-01-11 |
| Find all providers in zip 24101 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117372 | Martin A Shahmirzadi | Technician/Technologist | 1934 Old Gallows Rd Ste 350b, Vienna, VA 22182-4042 | 2020-09-02 |
| 1902415730 | Blue Ridge Optical | Technician/Technologist | 4910 Valley View Blvd Nw Ste 110, Roanoke, VA 24012-2022 | 2020-07-28 |
| 1316421449 | National Vision Inc | Technician/Technologist | 545a Hilltop Plz, Virginia Beach, VA 23454-4501 | 2018-09-25 |
| 1215417001 | Takenya Norfus | Technician/Technologist | 3031 Kempton Park Rd, Suffolk, VA 23435-2552 | 2018-08-21 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1780190900 | Rosalind Bond Alexander | Technician/Technologist | 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 | 2017-12-26 |
| 1225543275 | Rachel Naomi Melendrez | Technician/Technologist | 125 Mill St Ste 12, Occoquan, VA 22125-7732 | 2017-12-12 |
| 1548774425 | Dean Diffenbaugh | Technician/Technologist | 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 | 2017-11-29 |
| 1447761408 | David Morris Lambert | Technician/Technologist | 904 N 1st St Ste 100, Richmond, VA 23219-1000 | 2017-10-17 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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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.