DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: VISTAR EYE CENTER

MEDICARE: VISTAR EYE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier1156VA

General Provider Information

NPI Number : 1740424126
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTAR EYE CENTER
Provider Business Mailing Address
First Line : PO BOX 1789
Second Line :
City : ROANOKE
State : VA
Zip : 24008-1789
Country : US
Telephone Number : 540-855-5139
Fax Number : 540-342-4373
Provider Business Practice Location Address
First Line : 548 BLUE RIDGE AVE
Second Line :
City : BEDFORD
State : VA
Zip : 24523-2604
Country : US
Telephone Number : 540-855-5139
Fax Number : 540-342-4373
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. KATHY P COWAN
Credential :
Telephone Number : 540-855-5123
Provider Enumeration Date : 04/29/2009
Last Update Date : 04/29/2009

Similar Medicare Providers

1699626515 — DANIELLE NICOLE LODGE
Practice Location Address:
582 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 540-425-7910
Practice Fax:
1851364756 — KELLI LINICK MD
Practice Location Address:
548 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 540-586-4723
Practice Fax:
1720053358 — CRAIG S HAYEK MD
Practice Location Address:
582 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 434-929-1400
Practice Fax:
1962594895 — PAUL G MALONE PA-C
Practice Location Address:
582 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 540-425-7910
Practice Fax: 540-583-5147
1609203538 — JOHNSON HEALTH CENTER
Practice Location Address:
582 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 434-929-1400
Practice Fax: 434-929-0410
1154888675 — JOHNSON HEALTH CENTER
Practice Location Address:
582 BLUE RIDGE AVE
BEDFORD, VA
24523-2604
Practice Phone: 540-425-7910
Practice Fax: 540-583-5149

Directions to “VISTAR EYE CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.