IndividualActive
Christopher Clark, LICENSED OPTICIAN
NPI 1801063664 · Optician · Roanoke, VA
Provider details
- NPI number
- 1801063664
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LICENSED OPTICIAN
- Sex
- Male
- Sole proprietor
- No
- License
- 1101 002026 (VA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1960 Electric Rd
Roanoke, VA 24018-1601
Phone: (540) 776-9722
Approximate (ZIP-level) locationGet directions
Mailing address
4833 Shadow Ln
Roanoke, VA 24019-2563
Registry dates
- Enumerated
- 2008-05-12
- Last updated
- 2008-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.