Blue Ridge Optical
NPI 1205215001ActiveOrganization· Technician/Technologist, Optician· Blacksburg, VA
Technician/Technologist, Optician in Blacksburg, Virginia, registered in NPPES in May 2015, part of Blue Ridge Optical, Inc. The authorized official on file is Christopher M. Clark, LICENSED OPTICIAN, Manager/ Corporate Secretary.
Overview
| NPI | 1205215001 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Blue Ridge Optical, Inc. |
| NPI issued | May 26, 2015 |
| Last updated in NPPES | May 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician/Technologist, Optician Primary | 156FX1800X | 11011002026 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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