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Organization

BLUE RIDGE OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN JANA CALHOUN (LIC. OPTICIAN)
(540) 721-7200
Entity
Organization

Contact information

Practice address
13295 BOOKER T WASHINGTON HWY, HARDY, VA 24101-3947
(540) 721-7200
Mailing address
13295 BOOKER T WASHINGTON HWY, HARDY, VA 24101-3947
(540) 721-7200

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101 001548
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9280561
VA
Enumeration date
07/07/2006
Last updated
08/22/2020
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