Organization
BLUE RIDGE OPTICAL
Active
Parent organization
BLUE RIDGE OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE RIDGE OPTICAL
Authorized official
MR. CHRISTOPHER M CLARK (MANAGER)
(540) 776-9722
Entity
Organization
Contact information
Practice address
4910 VALLEY VIEW BLVD NW STE 110, ROANOKE, VA 24012-2022
(540) 632-0900
(540) 627-5418
Mailing address
1960 ELECTRIC RD STE B, ROANOKE, VA 24018-1601
(540) 776-9722
(540) 627-5418
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
11/27/2023
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