NPIMap

Organization Active NPI

Pearle Vision

  • Optician
  • Pleasant Prairie, WI
National Provider Identifier
1215057724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PEARLE VISION
Practice address
9000 76TH St Ste a
Pleasant Prairie, WI 53158-1975
Phone
(262) 697-5500
Fax
(262) 697-8589
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tatyana Lalayan
Title
Group Manager
Phone
(847) 877-0479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X WI Primary

Addresses

Primary practice location

9000 76TH St Ste a
Pleasant Prairie, WI 53158-1975

Mailing address

9000 76TH St Ste a
Pleasant Prairie, WI 53158-1975
Phone (262) 697-5500

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9000 76th St
Ste A
Pleasant Prairie, WI 53158
Phone (262) 697-5500

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215057724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 76TH ST STE A",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581975",
            "telephone_number": "262-697-5500",
            "fax_number": "262-697-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 76TH ST STE A",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531581975",
            "telephone_number": "262-697-5500",
            "fax_number": "262-697-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALAYAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GROUP MANAGER",
        "authorized_official_telephone_number": "847-877-0479"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • 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.