Organization
BLUE RIDGE EYE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC A HUDSON O.D. (OWNER)
(540) 463-9350
Entity
Organization
Contact information
Practice address
30 CROSSING LANE, STE. 107, LEXINGTON, VA 24450-6354
(540) 463-9350
(540) 463-1722
Mailing address
30 CROSSING LANE, STE. 107, LEXINGTON, VA 24450-6354
(540) 463-9350
(540) 463-1722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000318
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009235728
—
VA
01
—
08996200000
SOUTHERN HEALTH
VA
01
—
108018
ANTHEM BCBS
VA
Enumeration date
07/04/2006
Last updated
11/02/2016
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