Spectacle Shop, Inc.
Durable Medical Equipment & Medical Supplies
1047 Millmont St, Charlottesville
Virginia, 22903-4866
434-979-7730 434-977-7512
Spectacle Shop, Inc. is a Durable Medical Equipment & Medical Supplies in Charlottesville, Virginia. It is located at 1047 Millmont St, Charlottesville and it's customer support contact number is 434-979-7730. The authorized person of Spectacle Shop, Inc. is Mr. Jon David Bright, OPTICIAN who is President of this DME and his contact number is 434-973-8636. Active license number of Spectacle Shop, Inc. is 1101000736 for Durable Medical Equipment & Medical Supplies in Virginia. Spectacle Shop, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Spectacle Shop, Inc. is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Spectacle Shop, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Spectacle Shop, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1047 Millmont St, Charlottesville,
Virginia, 22903-4866 |
| Phone: | 434-979-7730 |
| Fax: | 434-977-7512 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jon David Bright |
| Credentials: | OPTICIAN |
| Position: | President |
| Contact Number: | 434-973-8636 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1215942792 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 13 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spectacle Shop, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 1101000736 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 009280006 | Medicaid | Virginia | |
Medicare Enrollment:
Spectacle Shop, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7416076328 | O20100930065183 | Spectacle Shop, Inc. | DME SUPPLIER - OPTICIAN |
Products Available:
Spectacle Shop, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Eyeglasses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 20251 Long Lake Drive,
Hammond, Louisiana |
| Zip: | 70403-8607 |
| Phone Number: | 985-520-5005 |
| Fax Number: | 985-520-5060 |
Patients can reach Spectacle Shop, Inc. at
1047 Millmont St, Charlottesville, Virginia or can
call on customer care at 434-979-7730.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.