CUSTOM CONTACT LENS (NPI# 1811149255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811149255 |
| Entity Type | Organization |
| Organization Name | CUSTOM CONTACT LENS |
| Other Organization Name | CUSTOM OPTICS |
| Practice Address |
107 Twinridge Ln Richmond VA 23235-5241 |
| Practice Telephone | 8043200078 |
| Mailing Telephone | 8043200078 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | DR. CHRISTODOULOS MICHAEL PETRAS (SOBIC) |
| Authorized Official Telephone | 8043200078 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Custom Optics | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | CUSTOM CONTACT LENS LAB, INC. | 4196 Washington, Roslindale, MA 02131 |
| Street Address |
107 TWINRIDGE LN |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235-5241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| 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 |
|---|---|---|---|---|
| 1699270496 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 6946 Forest Ave Ste 100, Richmond, VA 23230-1701 | 2018-03-26 |
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1730535717 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12300 W Broad St, Richmond, VA 23233-7606 | 2016-05-10 |
| 1154729465 | Sanyals Vision Center | Eyewear Supplier (Equipment, not the service) | 7101 W Grand Pkwy S Ste 170, Richmond, TX 77407-8656 | 2014-12-18 |
| 1538309919 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2115 Lantern Ridge Dr, Ste. U500, Richmond, KY 40475-6011 | 2009-02-25 |
| 1336391820 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1320 Starling Dr, Richmond, VA 23229 | 2008-10-16 |
| 1043484660 | Vasilis Makris Md, PC | Eyewear Supplier (Equipment, not the service) | 2302 Chester Blvd, Richmond, IN 47374-1221 | 2008-04-15 |
| 1457549800 | Prodigy Optical, Inc | Eyewear Supplier (Equipment, not the service) | 314 Ivy Ave Se, Richmond, MN 56368-4509 | 2007-10-11 |
| 1740470467 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 10813 Trade Rd, Richmond, VA 23236-3036 | 2007-07-30 |
| 1255487765 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 11591 W Broad St, Richmond, VA 23233-1186 | 2007-01-26 |
| Find all providers in RICHMOND | ||||
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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.