SHENANDOAH OPTICAL INC. NPI 1861478083

NPI Information

NPI: 1861478083
Provider Name: SHENANDOAH OPTICAL INC.

Doing Business As: WINCHESTER OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1845 W PLAZA DR
WINCHESTER, VA
ZIP 22601
Phone: (540) 667-1176
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SHENANDOAH OPTICAL INC. is an eyewear supplier in Winchester, VA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SHENANDOAH OPTICAL INC. NPI is 1861478083. The provider is registered as an organization entity type.
The provider Is Doing Business As Winchester Optical.

The provider's business location address is:

1845 W PLAZA DR
WINCHESTER, VA
ZIP 22601-365
Phone: (540) 667-1176
Fax: (540) 667-1209

The provider's authorized official is Michael A Moore .
The authorized official title is President and has the following contact phone number (540) 667-2220.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		01629	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0398870003	MEDICARE NSC	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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