Pearle Vision

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PEARLE VISION

Practice address

914 N Green Bay Rd
Waukegan, IL 60085-2240

Phone

(847) 473-4422

Fax

(847) 599-4024

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Tatyana Lalana

Title

General Manager

Phone

(847) 877-0479

Specialties & licenses 1

Addresses

Tax ID family

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.

• Pearle Vision

  • Optician
  • Pleasant Prairie, WI
  • NPI 1215057724
  NPD tax ID

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457471864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852240",
            "telephone_number": "847-473-4422",
            "fax_number": "847-599-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N GREEN BAY RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852240",
            "telephone_number": "847-473-4422",
            "fax_number": "847-599-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALANA",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "847-877-0479"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rina Navinchandra Patel, D.D.S
• Joanne J Patterson
• Pavilion of Waukegan, II, Inc.
• Pavilion of Waukegan, LLC (Waukegan Health and Rehab)
• James Pawlik, DDS
• Joshua Pechter
• Sharon Jean Peddicord, LCSW
• Ashley Perez
• Belinda Perez, BA CADC ATE
• Carmen D Perez, RN

• Optician in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Optician in Illinois

• 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.