BLUE RIDGE OPTICAL – NPI #1902415730
Technician/Technologist

BLUE RIDGE OPTICAL is a technician located in ROANOKE, VA. NPPES has assigned the NPI number 1902415730 to BLUE RIDGE OPTICAL on July 28, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 156FX1800X from the Health Care Provider Taxonomy code set, which is classified as Technician/Technologist, specializing in Optician

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE OPTICAL below.

NPI Profile for
BLUE RIDGE OPTICAL

NPI Number
1902415730
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE OPTICAL
Primary location
4910 VALLEY VIEW BLVD NW STE 110
ROANOKE, VA 24012-2022
Phone: (540) 632-0900 Fax: (540) 627-5418
Mailing address
1960 ELECTRIC RD STE B
ROANOKE, VA 24018-1601
Phone: (540) 776-9722 Fax: (540) 627-5418
Organization Subpart
Yes - BLUE RIDGE OPTICAL is subpart of another organization.
Authorized Official
CHRISTOPHER CLARK
MANAGER
Phone: (540) 776-9722
Updated
Certification Date
Jul 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
156FX1800X
- Technician/Technologist / Optician (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
COMPANY PRIMARY EMAIL
Content Type
Affiliation
Y
Endpoint Location
1960 ELECTRIC RD,
ROANOKE, VA 77025-1669