Provider Demographics
NPI:1275852659
Name:RODYHILL HEALTHCARE SOLUTIONS, LTD.
Entity Type:Organization
Organization Name:RODYHILL HEALTHCARE SOLUTIONS, LTD.
Other - Org Name:VISIONARY OPTICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CMR
Authorized Official - Phone:540-587-4003
Mailing Address - Street 1:806 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-2939
Mailing Address - Country:US
Mailing Address - Phone:540-587-4003
Mailing Address - Fax:540-587-6900
Practice Address - Street 1:1100 CELEBRATION AVE
Practice Address - Street 2:
Practice Address - City:MONETA
Practice Address - State:VA
Practice Address - Zip Code:24121-6603
Practice Address - Country:US
Practice Address - Phone:540-297-5393
Practice Address - Fax:540-297-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000777152W00000X
VA1101001438156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty