Ideal Vision LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

S 4032 Issued in OH

Legal business name

IDEAL VISION LLC

Doing business as

Pearle Vision

Practice address

4474 Everhard Rd NW
Canton, OH 44718-2418

Phone

(330) 494-4445

NPI assigned

Jun 9, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Marie Ayers

Title

Member

Phone

(330) 806-2312

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": "1370736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370736000000",
    "number": "1104264431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182418",
            "telephone_number": "330-494-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 EVERHARD RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182418",
            "telephone_number": "330-494-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-09",
        "last_updated": "2013-06-09",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "330-806-2312",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "S 4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Canton, OH
• Providers in Canton, OH by specialty
• Eyewear Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; 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.