Organization Active NPI

Pearle Vision

  • Optometrist
  • Fajardo, PR
National Provider Identifier
1235112582
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
608 Issued in PR
Legal business name
PEARLE VISION
Practice address
15 Calle Garrido Morales W
Fajardo, PR 00738-4632
Phone
(787) 863-3580
Fax
(787) 860-1333
NPI assigned
Nov 21, 2005
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
Dr. Mirla Kyrenia Erausquin, O.D.
Title
Optometry Doctor
Phone
(787) 396-6623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 608 PR Primary

Addresses

Primary practice location

15 Calle Garrido Morales W
Fajardo, PR 00738-4632

Mailing address

K15 Calle I
Carolina, PR 00987-7138
Phone (787) 396-6623

National Provider Directory

National Provider Directory

Locations

15 Calle Garrido Morales W
Fajardo, PR 00738
Phone (787) 257-5230

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235112582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "K15 CALLE I",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009877138",
            "telephone_number": "787-396-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE GARRIDO MORALES W",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007384632",
            "telephone_number": "787-863-3580",
            "fax_number": "787-860-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERAUSQUIN",
        "authorized_official_first_name": "MIRLA",
        "authorized_official_middle_name": "KYRENIA",
        "authorized_official_title_or_position": "OPTOMETRY DOCTOR",
        "authorized_official_telephone_number": "787-396-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PR",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

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.