Blue Ridge Optical

LBN: Blue Ridge Optical
Blue Ridge Optical is an health care organization with primary practice located at 1960 Electric Rd , Roanoke VA 24018-1621. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Blue Ridge Optical can be contacted via phone (540) 776-9722, or through Clark, Christopher M via phone (540) 776-9722.

Contact Information

Primary practice address
1960 Electric Rd Roanoke VA 24018-1621
Phone: (540) 776-9722
Fax: (504) 776-5119
Website:
Map and Directions
Authorized official contact:
Name: Clark, Christopher M VA, LICENSEDOPTICIAN
Phone: (540) 776-9722

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Virginia

Profile Details

NPI number 1639192594
LBN Legal business name Blue Ridge Optical
DBA Doing business as
Authorized official Clark, Christopher M VA, LICENSEDOPTICIAN
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jun 15th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639192594 NPPES
Virginia Other 452898 ANTHEM
Virginia MEDICAID 92-8062-6 ANTHEM

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