SHENANDOAH OPTICAL INC (NPI# 1568452456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568452456 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH OPTICAL INC |
| Practice Address |
230 Shenandoah St Woodstock VA 22664-1051 |
| Practice Telephone | 5404598313 |
| Practice Fax Number | 5404599452 |
| Mailing Telephone | 5404598313 |
| Mailing Fax Number | 5404599452 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | MR. MICHAEL A MOORE (PRESIDENT) |
| Authorized Official Telephone | 5406672220 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1101001190 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009280758 | 05 |
| Street Address |
230 SHENANDOAH ST |
| City | WOODSTOCK |
| State | VA |
| Zip Code | 22664-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225236656 | Monte Dicks | Technician/Technologist | 230 Shenandoah St, Woodstock, VA 22664-1051 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104310770 | Melissa Weidel | Speech-Language Pathologist | 803 S. Main St., Woodstock, VA 22664 | 2018-06-18 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
| 1316463656 | Julia Elizabeth Romero | Doula | 1163 Dysart Road, Woodstock, VA 22664 | 2017-08-18 |
| 1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
| 1306240411 | National Counseling Group, Inc | Counselor | 505 N Main Street, Suite 101, Woodstock, VA 22664 | 2014-10-17 |
| 1255663555 | Laura S Hernandez-dauer | Dentist | 130 East Reservoir Road, Woodstock, VA 22664 | 2010-02-11 |
| 1891026654 | Lofton Verner Anderson | Counselor | 441 North Main Street, Woodstock, VA 22664 | 2010-01-19 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1851554992 | Joan Manuel Pino | Dentist | 124 Valley Vista Drive, Woodstock, VA 22664 | 2008-07-09 |
| Find all providers in zip 22664 | ||||
| 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 |
|---|---|---|---|---|
| 1972927531 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 915 Ridgewalk Pkwy, Suite 425, Woodstock, GA 30188-4896 | 2014-02-18 |
| 1497702443 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 12182 Highway 92, Woodstock, GA 30188-4481 | 2006-05-27 |
| 1568079705 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 105 Long Dr, Woodstock, GA 30189-3766 | 2020-09-30 |
| 1033607130 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1386798072 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 105 Long Dr, Woodstock, GA 30189 | 2007-01-22 |
| 1306997671 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 140 Woodstock Square Ave, Woodstock, GA 30189-6500 | 2007-01-15 |
| 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 | ||||
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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.