Healthcare Provider Details

I. General information

NPI: 1356288260
Provider Name (Legal Business Name): CHRISTOPHER SCOTT HUBBARD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SUNRISE DR
RICHLANDS VA
24641-3620
US

IV. Provider business mailing address

140 SUNRISE DR
RICHLANDS VA
24641-3620
US

V. Phone/Fax

Practice location:
  • Phone: 276-596-9506
  • Fax: 276-596-9310
Mailing address:
  • Phone: 276-596-9506
  • Fax: 276-596-9310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number1101002740
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: