ENVISION PROFESSIONAL GROUP, PLLC
NPI 1427155472
Clinic/Center in Marion, VA

NPI Status: Active since September 20, 2006

Contact Information

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

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 49D2050069
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-18-2026

About ENVISION PROFESSIONAL GROUP, PLLC

This page provides the complete NPI Profile along with additional information for Envision Professional Group, Pllc, a provider established in Marion, Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1427155472 assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 0618000072 (VA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Smyth County Eye Associates, Inc.. The authorized official of this NPI record is Tina B Blevins (Administrator)

NPI
1427155472
Provider Legal Name
ENVISION PROFESSIONAL GROUP, PLLC
Other Organization Name
SMYTH COUNTY EYE ASSOCIATES, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1020 TERRACE DR SUITE 100 MARION, VA 24354
Location Phone
(276) 783-5157
Location Fax
(276) 783-5159
Mailing Address
1020 TERRACE DR SUITE 100 MARION, VA 24354
Mailing Phone
(276) 783-5157
Mailing Fax
(276) 783-5159
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-20-2006
Last Update Date
02-20-2020
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Location Map

Secondary Locations

  • 699 McBroom St NW
    Abingdon, VA 24210
    (276) 628-1134
  • 2308 Cedar Valley Dr
    Cedar Bluff, VA 24609
    (276) 964-4171
  • 321 Midway Medical Park
    Bristol, TN 37620
    (423) 968-3141

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
0618000072
License State
VA
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TINA B BLEVINS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(276) 783-5157

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9234080MEDICAID (05)VA 
009234080MEDICAID (05)VA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2050069
Facility Type
Physician Office
Certificate Effective Date
November 19, 2024
Certificate Expiration Date
November 18, 2026
Laboratory Director
SUSAN KEENE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Envision Professional Group, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ENVISION PROFESSIONAL GROUP, PLLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427155472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24472510414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 5 + 1 + 0 + 4 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1427155472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225090509 ROBERT VAN CLAMPITT M.D.
Individual
Family Medicine1020 TERRACE DR SUITE 200
MARION, VA 24354
(276) 783-7167
1972565265 BRIAN HARRIS STIEFEL M.D.
Individual
Family Medicine1020 TERRACE DR SUITE 200
MARION, VA 24354
(276) 783-7167
1235142928 DAYLE H ZANZINGER NP
Individual
Nurse Practitioner (Family)1020 TERRACE DR SUITE 200
MARION, VA 24354
(276) 783-7167
1013014067DR. ANITA SUSAN KEENE O.D.
Individual
Optometrist1020 TERRACE DR SUITE 100
MARION, VA 24354
(276) 783-5157
1093909111SMYTH COUNTY COMMUNITY HOSPITAL
Organization
Surgery1020 TERRACE DR SUITE 202
MARION, VA 24354
(276) 781-7848
1639307010DR. AMY RACHELLE BLUE O.D.
Individual
Optometrist1020 TERRACE DR SUITE 100
MARION, VA 24354
(276) 477-0925
1275761652DR. LUCAS H. SPIKER O.D.
Individual
Optometrist1020 TERRACE DR STE. 100
MARION, VA 24354
(276) 783-5157
1548552458BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Organization
Surgery1020 TERRACE DR SUITE 202
MARION, VA 24354
(276) 781-7848
1063455871 JAMES U SCOTT M.D.
Individual
Pediatrics1020 TERRACE DR SUITE 101
MARION, VA 24354
(276) 783-8183
1659318525ROYAL OAK MEDICAL ASSOCIATES PC
Organization
Family Medicine1020 TERRACE DR SUITE 200
MARION, VA 24354
(276) 783-7167
1255370003 DAVID GLENN PARKER MD
Individual
Family Medicine1020 TERRACE DR SUITE 200
MARION, VA 24354
(276) 783-7167
1114115623DR. NEAL RAY SANDERS M.D.
Individual
Family Medicine1020 TERRACE DR
MARION, VA 24354
(276) 783-2511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427155472, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 1020 Terrace Dr Suite 100 Marion, Va 24354 and the phone number is (276) 783-5157

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 49D2050069 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.