Healthcare Provider Details

I. General information

NPI: 1578025292
Provider Name (Legal Business Name): HOPE VISION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 PACE RD
NORFOLK VA
23518-2325
US

IV. Provider business mailing address

8114 PACE RD
NORFOLK VA
23518-2325
US

V. Phone/Fax

Practice location:
  • Phone: 317-498-3758
  • Fax:
Mailing address:
  • Phone: 317-498-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. FELEICA GAIL STEWART
Title or Position: CEO
Credential:
Phone: 317-498-3758