Provider Demographics
NPI:1366764367
Name:LEIN AND VENDITTIS VISIONS INC
Entity type:Organization
Organization Name:LEIN AND VENDITTIS VISIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:D
Authorized Official - Last Name:LEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-722-2277
Mailing Address - Street 1:136 LINDEN DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6900
Mailing Address - Country:US
Mailing Address - Phone:540-722-2277
Mailing Address - Fax:540-722-7436
Practice Address - Street 1:251 FRONT ROYAL PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7319
Practice Address - Country:US
Practice Address - Phone:540-722-2277
Practice Address - Fax:540-722-7436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA103889Medicare PIN