NPIMap

Organization Active NPI

Pearle Vision

  • Preferred Provider Organization
  • Dedham, MA
National Provider Identifier
1063679082
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6080 Issued in MA
Legal business name
PEARLE VISION
Practice address
300 Providence Hwy
Dedham, MA 02026-1804
Phone
(781) 329-5120
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Ms. Elena Volnova
Title
Optician
Phone
(781) 329-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 6080 MA Primary

Addresses

Primary practice location

300 Providence Hwy
Dedham, MA 02026-1804

Mailing address

300 Providence Hwy
Dedham, MA 02026-1804
Phone (781) 329-5120

National Provider Directory

National Provider Directory
Tax ID family
A S Optical Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1063679082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261804",
            "telephone_number": "781-329-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261804",
            "telephone_number": "781-329-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "VOLNOVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "781-329-5120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MA",
            "license": "6080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.