Active NPI
Pagal Optical, Inc.
- Optician
- Rochester, NY
National Provider Identifier
1306933460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4996
- Legal business name
- PAGAL OPTICAL, INC.
- Practice address
- 3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513 - Phone
- (585) 381-1616
- Fax
- (585) 381-0718
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Seles A Varin, O.D.
- Title
- Owner
- Phone
- (585) 381-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 4996 | NY | Primary |
Addresses
Primary practice location
3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513
Mailing address
3349 Monroe Ave
Pittsford Plaza
Rochester, NY 14618-5513
Phone (585) 381-1616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102136 | Other | NY | EYEMED |
| FAO139 | Other | NY | PREFERRED CARE |
Other names 1
- Pearle Vision
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306933460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3349 MONROE AVE",
"address_2": "PITTSFORD PLAZA",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185513",
"telephone_number": "585-381-1616",
"fax_number": "585-381-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3349 MONROE AVE",
"address_2": "PITTSFORD PLAZA",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185513",
"telephone_number": "585-381-1616",
"fax_number": "585-381-0718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAGAL OPTICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VARIN",
"authorized_official_first_name": "SELES",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "585-381-1616",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "4996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "102136",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "FAO139",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
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.