Blue Ridge Optical
Blue Ridge Optical is a healthcare organization registered as Eyewear Supplier in Roanoke, VA, holding Type 2 (organization) NPI 1639192594 since 2006. The authorized official on file is Christopher Clark, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1639192594 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blue Ridge Optical |
| Parent organization | Blue Ridge Optical, Inc. |
| Practice address | 1960 ELECTRIC RD, Roanoke, VA, 24018 |
| Phone | 5407769722 |
| Fax | 5047765119 |
| Enumeration date | 2006-07-25 |
| Last updated in NPPES | 2015-06-15 |
Authorized official
| Name | Christopher Clark |
|---|---|
| Title | Manager |
| Phone | 5407769722 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | VA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452898 | Other | VA | ANTHEM |
| 92-8062-6 | Medicaid | VA | — |
Copy-ready billing details
Provider: Blue Ridge Optical NPI: 1639192594 Taxonomy: 332H00000X (Eyewear Supplier) Address: 1960 ELECTRIC RD, Roanoke, VA, 24018
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306842695 | Kevin Coolbaugh | Individual | Optometrist | Roanoke, VA |
| 1649277229 | Shari Coolbaugh | Individual | Optometrist | Roanoke, VA |
| 1023015476 | William Thompson | Individual | Ophthalmology Physician | Roanoke, VA |
| 1720085608 | Lee Helms | Individual | Ophthalmology Physician | Roanoke, VA |
| 1508864109 | Carey Robinson | Individual | Ophthalmology Physician | Roanoke, VA |
| 1962400168 | Eye Care & Surgery PC | Organization | Ophthalmology Physician | Roanoke, VA |
| 1760533608 | Eugene Eng | Individual | Ophthalmology Physician | Roanoke, VA |
| 1801063664 | Christopher Clark | Individual | Optician | Roanoke, VA |
Verify this record
Cross-check NPI 1639192594 against the authoritative CMS record: view Blue Ridge Optical on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Blue Ridge Optical?
Who is the authorized official for Blue Ridge Optical?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-06-15.