BLUE RIDGE OPTICAL
NPI 1902415730
Technician/Technologist - Optician in Roanoke, VA

NPI Status: Active since July 28, 2020

Contact Information

4910 VALLEY VIEW BLVD NW STE 110
ROANOKE, VA
ZIP 24012
Phone: (540) 632-0900
Fax: (540) 627-5418

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  • Organization
  • Technician/Technologist
  • Optician
  • CLIA Number: 49D0997607
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 03-20-2026

About BLUE RIDGE OPTICAL

This page provides the complete NPI Profile along with additional information for Blue Ridge Optical, a provider established in Roanoke, Virginia operating as a Technician/technologist, focusing in optician . The healthcare provider is registered in the NPI registry with number 1902415730 assigned on July 2020. The practitioner's primary taxonomy code is 156FX1800X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Christopher M Clark (Manager)

NPI
1902415730
Provider Name
BLUE RIDGE OPTICAL
Entity Type
Organization
Location Address
4910 VALLEY VIEW BLVD NW STE 110 ROANOKE, VA 24012
Location Phone
(540) 632-0900
Location Fax
(540) 627-5418
Mailing Address
1960 ELECTRIC RD STE B ROANOKE, VA 24018
Mailing Phone
(540) 776-9722
Mailing Fax
(540) 627-5418
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-28-2020
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician/Technologist Optician

Taxonomy Code
156FX1800X
Type
Eye and Vision Services Providers
Taxonomy Description
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CHRISTOPHER M CLARK

Authorized Official Title
MANAGER
Authorized Official Phone
(540) 776-9722

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D0997607
Facility Type
Other
Certificate Effective Date
March 21, 2024
Certificate Expiration Date
March 20, 2026
Laboratory Director
AMY HOLMES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blue Ridge Optical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902415730, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 8 + 1 + 1 + 0 + 7 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1902415730.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902415730, enumerated as an "organization" on July 28, 2020.

The provider is located at 4910 VALLEY VIEW BLVD NW STE 110 ROANOKE, VA 24012 and the phone number is (540) 632-0900.

Technician/Technologist with taxonomy code 156FX1800X and a focus in Optician.