Blue Ridge Optical
NPI #1205215001 in Blacksburg, Virginia
Provider Information
- NPI Number
- 1205215001
- Entity Type
- Organization
- Organization Name
- Blue Ridge Optical
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLUE RIDGE OPTICAL, INC.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 26, 2015
- Last Updated
- May 26, 2015
Practice Location
- Address
- 110 PROFESSIONAL PARK DR SE
- Address 2
- SUITE 6
- City
- Blacksburg
- State
- Virginia
- ZIP Code
- 24060-6735
- Phone
- (540) 552-4588
Authorized Official
- Name
- CHRISTOPHER M CLARK, LICENSED OPTICIAN
- Title
- MANAGER/ CORPORATE SECRETARY
- Phone
- (540) 776-9722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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