Provider Demographics
NPI:1508296484
Name:ALEXANDER BYRD OPTICS
Entity Type:Organization
Organization Name:ALEXANDER BYRD OPTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:FOSTER
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:434-825-6697
Mailing Address - Street 1:2150 WISE ST UNIT 4769
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22905-1223
Mailing Address - Country:US
Mailing Address - Phone:540-827-4993
Mailing Address - Fax:866-372-0348
Practice Address - Street 1:606 BULL RUN
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-1896
Practice Address - Country:US
Practice Address - Phone:434-249-3874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty