Individual provider Active NPI

Leanne M Perry

  • Optician
  • Norfolk, VA
National Provider Identifier
1033295068
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101003292 Issued in VA
Practice address
128 E Little Creek Rd
Norfolk, VA 23505-2503
Phone
(747) 480-1134
Fax
(757) 480-8655
NPI assigned
Oct 31, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101003292 VA Primary

Addresses

Primary practice location

128 E Little Creek Rd
Norfolk, VA 23505-2503

Mailing address

128 East Little Creek Rd
Norfolk, VA 23505
Phone (747) 480-1134

Other practice location 1

2201 Upton Dr Ste 902
Virginia Beach, VA 23454-1292
Phone (757) 430-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101003292VAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
L & J Vision Center, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033295068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EAST LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23505",
            "telephone_number": "747-480-1134",
            "fax_number": "757-480-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E LITTLE CREEK RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052503",
            "telephone_number": "747-480-1134",
            "fax_number": "757-480-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Upton Dr Ste 902",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234541292",
            "country_code": "US",
            "telephone_number": "757-430-2860",
            "fax_number": "757-430-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "LEANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101003292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.