Provider Demographics
NPI:1407947559
Name:BLUE RIDGE OPHTHALMOLOGY PLLC
Entity Type:Organization
Organization Name:BLUE RIDGE OPHTHALMOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:HAMILTON
Authorized Official - Last Name:SCHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-295-3227
Mailing Address - Street 1:626 BERKMAR CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1464
Mailing Address - Country:US
Mailing Address - Phone:434-295-3227
Mailing Address - Fax:434-295-9527
Practice Address - Street 1:626 BERKMAR CIRCLE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1464
Practice Address - Country:US
Practice Address - Phone:434-295-3227
Practice Address - Fax:434-295-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADA7285OtherPALMETTO RAILROAD
VA226791OtherSOUTHERN HEALTH
VA292898OtherANTHEM BCBS
VAC08601Medicare ID - Type Unspecified