Fadea Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO4437 Issued in FL

Legal business name

FADEA INC

Doing business as

Pearle Vision

Practice address

1371 Town Center Dr
Lakeland, FL 33803-7964

Phone

(863) 413-0200

Fax

(863) 413-0227

NPI assigned

Mar 20, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frank Plumb, LDO

Title

Owner

Phone

(863) 413-0200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pearle Vision Doing business as

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1215052477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 TOWN CENTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037964",
            "telephone_number": "863-413-0200",
            "fax_number": "863-413-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 TOWN CENTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037964",
            "telephone_number": "863-413-0200",
            "fax_number": "863-413-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADEA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PLUMB",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-413-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4437",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO 5653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALES TAX ID #",
            "identifier": "39-80132227906",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "223338",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyeglass World
• F Mark Goodwin MD PA (Lakeland Orthopaedic Clinic)
• Taylor Faas, PHARMD
• Faatz, Inc.
• Kristen Fabrizi, PSYD
• Ibrahim Fadeyi
• Adam Fagan, DPT
• Benjamin Jacob Fagan
• Ariel Kyndal Fagins
• Sharon Ilene Fairbee, MD

• Optician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.