Provider Demographics
NPI:1619641396
Name:LEIN & VENDITTIS VISION, INC
Entity Type:Organization
Organization Name:LEIN & VENDITTIS VISION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-722-2277
Mailing Address - Street 1:316 CANYON RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7028
Mailing Address - Country:US
Mailing Address - Phone:540-327-9704
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service