Healthcare Provider Details

I. General information

NPI: 1457271710
Provider Name (Legal Business Name): THE VISION SUITE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 W BROAD ST
RICHMOND VA
23230-2629
US

IV. Provider business mailing address

5320 GOOD LANDING RD UNIT 202
GLEN ALLEN VA
23059-5990
US

V. Phone/Fax

Practice location:
  • Phone: 773-964-5689
  • Fax:
Mailing address:
  • Phone: 773-964-5689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NITASHA MERCHANT
Title or Position: OWNER
Credential: OD
Phone: 773-964-5689