PV Kingston

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4029 Issued in MA

Legal business name

PV KINGSTON

Doing business as

Pearle Vision

Practice address

101 Independence Mall Way
Kingston, MA 02364-3048

Phone

(781) 585-1668

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Pender

Title

Manager

Phone

(508) 585-1668

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1063878569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 INDEPENDENCE MALL WAY",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643048",
            "telephone_number": "781-585-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 INDEPENDENCE MALL WAY",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643048",
            "telephone_number": "781-585-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PV KINGSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-585-1668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "4029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annelise Pfeiffer, OT/R
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• Jeanne Barbara Reece, M.ED, CAGS, BCBA
• Jessica Reichert, M.A, CCC-SLP
• Christine Ann Reid, RN

• Eyewear Supplier in Kingston, MA
• Providers in Kingston, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.