STEPHEN E MERRICKS


Address: 3405 Brambleton Ave, Roanoke, VA 24018-6519
Phone: 5403442020

STEPHEN E MERRICKS (NPI# 1518306539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518306539
Entity Type Individual
Full Name STEPHEN E MERRICKS
Credential OPTICIAN
Practice Address 3405 Brambleton Ave
Roanoke
VA 24018-6519
Practice Telephone 5403442020
Practice Fax Number 5407771125
Mailing Telephone 5403442020
Mailing Fax Number 5407771125
Enumeration Date 2013-06-24
Last Update Date 2013-06-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 3405 BRAMBLETON AVE
City ROANOKE
State VA
Zip Code 24018-6519

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1851441398 Lynn Carlton Via Technician/Technologist 3555-a Electric Rd, Roanoke, VA 24018 2007-01-10
1568545283 Diane N Etter Technician/Technologist 2122 Colonial Ave Sw, Roanoke, VA 24015-3205 2006-10-24
1740257823 National Optical Technician/Technologist 1507 Hershberger Rd Nw, Unit C, Roanoke, VA 24012-7319 2006-03-07
1669951034 Usv Optical Inc. Technician/Technologist 1419 Hershberger Rd Nw, Roanoke, VA 24012-2225 2018-08-07
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1982863684 National Optical Technician/Technologist 4135 Franklin Rd, Roanoke, VA 24018-5703 2008-06-06
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Competitor

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City ROANOKE
Zip Code 24018

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Dataset Information

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.

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