Active NPI
Leanne M Perry
- Optician
- Norfolk, VA
National Provider Identifier
1033295068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1101003292
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1101003292 | VA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New 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.