Spark, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

SPARK, INC

Doing business as

Pearle Vision

Practice address

2017 S Loudoun St
Winchester, VA 22601-3612

Phone

(540) 665-0571

Fax

(540) 667-7439

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Lee Comer

Title

President

Phone

(540) 665-0571

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1407051683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S LOUDOUN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013612",
            "telephone_number": "540-665-0571",
            "fax_number": "540-667-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S LOUDOUN ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013612",
            "telephone_number": "540-665-0571",
            "fax_number": "540-667-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "COMER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-665-0571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Winchester, VA
• Providers in Winchester, VA by specialty
• Point of Service in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.