NPI 1063689834

Blue Ridge Optical

Organisation Eyewear Supplier Roanoke, VA

Practice location

Address: 33 British Woods Dr 1960 Electric Road, Roanoke, VA 24019-8267
Phone: (540) 992-6797

Authorised official

Name: Christopher Clark
Title: Manager/Licensed Optician
Phone: (540) 776-9722

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 1101 000964 (VA)

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Registry record

NPI: 1063689834
Entity type: Organization
NPI issued: 12 May 2008
Record last updated: 15 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.