Pearle Vision Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PEARLE VISION INC

Practice address

3601 Constitution Blvd
Valley Fair Mall
West Valley City, UT 84119-3746

Phone

(801) 967-9048

Fax

(801) 967-2733

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Uhls

Title

Medicare Supervisor

Phone

(513) 765-3534

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174687354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CONSTITUTION BLVD",
            "address_2": "VALLEY FAIR MALL",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193746",
            "telephone_number": "801-967-9048",
            "fax_number": "801-967-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CONSTITUTION BLVD",
            "address_2": "VALLEY FAIR MALL",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193746",
            "telephone_number": "801-967-9048",
            "fax_number": "801-967-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE SUPERVISOR",
        "authorized_official_telephone_number": "513-765-3534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Christopher Paullet, R.PH.
• Breckin Paulson
• Steven Lester Paxton, D.D.S.
• Peak Prosthetic Designs, Inc.
• Peaks Eye Physicians PLLC (Peaks Retina)
• Debra Pearson, PA-C
• Percy J Pearson
• Sophea Pearson, PHARMD
• Toni Angelia Pegues, LCSW
• Ava Catherine Peitz

• Eyewear Supplier in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.