Legacy Vision Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LEGACY VISION CENTER

Practice address

71 W Shirley Ave
Warrenton, VA 20186-3111

Phone

(540) 347-5895

NPI assigned

Apr 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ali Hossein, OPTICIAN

Title

Owner

Phone

(540) 347-5895

Specialties & licenses 1

Addresses

Other names 1

• Legacy Vision Center LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1023869559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863111",
            "telephone_number": "540-347-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W SHIRLEY AVE",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863111",
            "telephone_number": "540-347-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "HOSSEIN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-347-5895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Vision Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence F Ayers III
• Madelyn Mae Lawyer, M.A., CCC-SLP
• Wendy Lear, PHARMD
• Jae Y. Lee, M.D.
• Logan Lee, PT, DPT
• Heather Joy Leitenberger, OTR/L
• Analisse Letoile
• Julie Letsen, PA-C
• Lifelove in Home Services, LLC
• Lifestyle Physicians LLC

• Eyewear Supplier in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.