ENVISION PROFESSIONAL GROUP PLLC NPI 1427155472

NPI Information

  • NPI: 1427155472
  • Provider Name: ENVISION PROFESSIONAL GROUP, PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: SMYTH COUNTY EYE ASSOCIATES, INC.
  • CLIA Number: 49D2050069
  • Address: 1020 TERRACE DR
    SUITE 100
    MARION, VA
    ZIP 24354
  • Phone: (276) 783-5157

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NPI Details

ENVISION PROFESSIONAL GROUP, PLLC is a clinic center in Marion, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ENVISION PROFESSIONAL GROUP, PLLC NPI is 1427155472. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Smyth County Eye Associates, Inc..

The provider's business location address is:

1020 TERRACE DR
SUITE 100
MARION, VA
ZIP 24354
Phone: (276) 783-5157
Fax: (276) 783-5159

The provider's authorized official is Tina B Blevins .
The authorized official title is Administrator and has the following contact phone number (276) 783-5157.

The CLIA number assigned to this NPI record is 49D2050069 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center0618000072VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19234080MEDICAIDVIRGINIA
2009234080MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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