Superior Eyes Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SUPERIOR EYES CORP

Doing business as

pearle vision

Practice address

5860 N. Tarrant Pkwy.
Ste. 108
Fort Worth, TX 76244

Phone

(817) 656-0440

Fax

(817) 428-4262

NPI assigned

Apr 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dary Prupes

Title

President/Owner

Phone

(817) 656-0440

Specialties & licenses 1

Addresses

Other names 1

• pearle vision Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1043454465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 N. TARRANT PKWY.",
            "address_2": "STE. 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-656-0440",
            "fax_number": "817-428-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 N. TARRANT PKWY.",
            "address_2": "STE. 108",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-656-0440",
            "fax_number": "817-428-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR EYES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "PRUPES",
        "authorized_official_first_name": "DARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "817-656-0440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renese Ann Super, LCSW
• Superb Health Care Inc
• Superb Home Health Care Agency LLC
• Superior Evaluation Services
• Superior Eye Care PC
• Superior Healthcare Services LLC
• Superior Home Healthcare Agency LLC
• Superior Life Health Center Inc
• Supersmiles PLLC
• Supplemental Health Care

• Preferred Provider Organization in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.