Organization Active NPI

Pearle Vision Center of Puerto Rico, Inc

  • Eyewear Supplier
  • San Juan, PR
National Provider Identifier
1376693358
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PEARLE VISION CENTER OF PUERTO RICO, INC
Practice address
1122 Ave Ponce de Leon
Rio Piedras #1122
San Juan, PR 00925-2908
Phone
(787) 765-0063
Fax
(787) 765-7035
NPI assigned
Jan 11, 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
Ms. Wendy Uhls
Title
Medicare Supervisor
Phone
(513) 765-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1122 Ave Ponce de Leon
Rio Piedras #1122
San Juan, PR 00925-2908

Mailing address

1122 Ave Ponce de Leon
Rio Piedras #1122
San Juan, PR 00925-2908
Phone (787) 765-0063

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision Center of Puerto Rico Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1122 Ave Ponce de Leon
San Juan, PR 00925
Phone (787) 765-0063

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376693358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 AVE PONCE DE LEON",
            "address_2": "RIO PIEDRAS #1122",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252908",
            "telephone_number": "787-765-0063",
            "fax_number": "787-765-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 AVE PONCE DE LEON",
            "address_2": "RIO PIEDRAS #1122",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252908",
            "telephone_number": "787-765-0063",
            "fax_number": "787-765-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION CENTER OF PUERTO RICO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE SUPERVISOR",
        "authorized_official_telephone_number": "513-765-3534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.