Provider Demographics
NPI:1699832626
Name:FLOYD OPTICAL CO INC
Entity Type:Organization
Organization Name:FLOYD OPTICAL CO INC
Other - Org Name:ROBERT A PARRON PRESIDENT OF FLOYD OPTICAL INC
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTICIAN PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-393-4591
Mailing Address - Street 1:600 RODMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3132
Mailing Address - Country:US
Mailing Address - Phone:757-393-4591
Mailing Address - Fax:
Practice Address - Street 1:600 RODMAN AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3132
Practice Address - Country:US
Practice Address - Phone:757-393-4591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0500156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0376340001Medicare ID - Type Unspecified