Organization
BLUE RIDGE HEARING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA STOPHER DRIVER MED CCC A (OWNER PRESIDENT AUDIOLOGIST)
(540) 432-0071
Entity
Organization
Contact information
Practice address
243 A NEFF AVENUE, HARRISONBURG, VA 22801-3482
(540) 432-0071
(540) 432-6079
Mailing address
243 A NEFF AVENUE, HARRISONBURG, VA 22801-3482
(540) 432-0071
(540) 432-6079
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
VA
332S00000X
Hearing Aid Equipment
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106785
ANTHEM INS GROUP NO
VA
01
—
118844
OPTIMA VENDOR
—
01
—
49486
OPTIMA PROVIDER
—
01
—
C06968
MEDICARE GROUP NO.
VA
Enumeration date
09/13/2006
Last updated
03/12/2024
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