Pellegrine Inc/Dba Pearle Vision

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PELLEGRINE INC/DBA PEARLE VISION

Practice address

12536 Olive Blvd Ste B
Saint Louis, MO 63141-6391

Phone

(314) 878-1377

Fax

(314) 878-1384

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Peter John Pellegrine

Title

President

Phone

(314) 878-1377

Specialties & licenses 1

Addresses

Tax ID family

Pellegrine Inc Dba 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.

• Pellegrine, Inc Dba Pearle Vision

  • Optician
  • Creve Coeur, MO
  • NPI 1598755589
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Cerneka Dreyer, O.D.

  • Low Vision Rehabilitation Optometrist
  • Creve Coeur, MO
  • NPI 1386776714
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1356523252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12536 OLIVE BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416391",
            "telephone_number": "314-878-1377",
            "fax_number": "314-878-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12536 OLIVE BLVD STE B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416391",
            "telephone_number": "314-878-1377",
            "fax_number": "314-878-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLEGRINE INC/DBA PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-878-1377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Peled, M.D.
• Yvette Kristine Pelikan, LCSW
• Jeffrey T Pelizzaro, MPT
• Justin Pelkey, DO
• Jonathan Adam Pellechia, PA-C
• Sophia Pellegrini
• Grace B Pelowski, APRN
• Ann Pelt, LMSW
• Pelvicore LLC
• Pelvimama LLC

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.