Organization Active NPI

I & N Optical

Doing business as Pearle Vision

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1417055658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
I & N OPTICAL
Doing business as
Pearle Vision
Practice address
4821 Bryant Irvin Rd
Ft Worth, TX 76132-3615
Phone
(817) 370-1811
Fax
(817) 370-7623
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Isaak Greenstein
Title
President
Phone
(817) 370-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4821 Bryant Irvin Rd
Ft Worth, TX 76132-3615

Mailing address

4821 Bryant Irvin Rd
Ft Worth, TX 76132-3615
Phone (817) 370-1811

Other identifiers 2

IdentifierTypeStateIssuer
95741OtherTXSUPERIOR VISION
18409OtherTXDAVIS VISION

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I N Optical Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4821 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 346-1677

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417055658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 BRYANT IRVIN RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323615",
            "telephone_number": "817-370-1811",
            "fax_number": "817-370-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 BRYANT IRVIN RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323615",
            "telephone_number": "817-370-1811",
            "fax_number": "817-370-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & N OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-370-1811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "95741",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "18409",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

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.