PG Vision

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

828 Issued in SC

Legal business name

PG VISION

Doing business as

Pearle Vision

Practice address

1113 Market Center Blvd
Mount Pleasant, SC 29464-7468

Phone

(843) 849-0822

NPI assigned

Feb 26, 2007

Last updated

Mar 27, 2017By 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. Eugene GebhardNPI 1356643266

Title

Owner

Phone

(843) 763-0554

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene George Gebhard, OPTICIAN

  • Optician
  • Charleston, SC
  • NPI 1356643266
  Authorized official Same address or phone

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1346376951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MARKET CENTER BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647468",
            "telephone_number": "843-849-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MARKET CENTER BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647468",
            "telephone_number": "843-849-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PG VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-763-0554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "SC",
            "license": "828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann M. Peterson, APRN-BC
• Tricia Peterson, DPT
• Alyssa Petry, WHNP-BC
• Christina Brueckner Pettit, PHARMD
• Mark C Pettus, M.D.
• Pharmonix Lab, LP
• Pamela Phelan
• Philip E Melchers Dentistry DMD LLC (Old Mt Pleasant Dentistry)
• Philip Prickett/ Mt. Pleasant Oral Facial & Implant (Low Country Oral Facial & Implant)
• James Harrison Phillips, MD

• Point of Service in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Point of Service in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.