NPIMap

Organization Active NPI

Pearle Visioncare Inc

  • Eyewear Supplier
  • Stockton, CA
National Provider Identifier
1184789166
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PEARLE VISIONCARE INC
Practice address
5308 Pacific Ave
Sherwood Mall
Stockton, CA 95207-5619
Phone
(209) 952-1701
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Ms. Wendy Uhls
Title
Medicare Administrator
Phone
(513) 765-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

5308 Pacific Ave
Sherwood Mall
Stockton, CA 95207-5619

Mailing address

5308 Pacific Ave
Sherwood Mall
Stockton, CA 95207-5619
Phone (209) 952-1701

Other names 1

  • Pearle Vision #C6007 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1184789166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 PACIFIC AVE",
            "address_2": "SHERWOOD MALL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075619",
            "telephone_number": "209-952-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 PACIFIC AVE",
            "address_2": "SHERWOOD MALL",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075619",
            "telephone_number": "209-952-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISIONCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
        "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": [
        {
            "organization_name": "Pearle Vision #C6007",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.