Provider Demographics
NPI:1215003249
Name:PRECISION EYEWEAR
Entity Type:Organization
Organization Name:PRECISION EYEWEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:VIRGINIA LICENSED OP
Authorized Official - Phone:540-552-4588
Mailing Address - Street 1:110 PROFESSIONAL PARK DR
Mailing Address - Street 2:STE 6
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6665
Mailing Address - Country:US
Mailing Address - Phone:540-552-4588
Mailing Address - Fax:540-552-4612
Practice Address - Street 1:110 PROFESSIONAL PARK DR
Practice Address - Street 2:STE 6
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6665
Practice Address - Country:US
Practice Address - Phone:540-552-4588
Practice Address - Fax:540-552-4612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0312460001Medicare ID - Type Unspecified