Pearle Vision Center

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

482 Issued in TN

Legal business name

PEARLE VISION CENTER

Practice address

6115 Hickory Ridge Mall
Memphis, TN 38115-8806

Phone

(901) 362-1496

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Tina Fly

Title

Owner Licensed Optician

Phone

(901) 362-1496

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457562266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 HICKORY RIDGE MALL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158806",
            "telephone_number": "901-362-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 HICKORY RIDGE MALL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158806",
            "telephone_number": "901-362-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER LICENSED OPTICIAN",
        "authorized_official_telephone_number": "901-362-1496"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Peak, PHARMD
• Carl F Pean, MD
• Patricia Ann Pearce, LCSW
• Phillip Pearce, BCBA, LBA
• Pearl'S House Inc
• Eugene Stanley Pearlman, MD
• Rebecca Pearlman, MD
• Drennan Nicole Pearrow, NP
• Catherine Claire Pearson
• James Grant Pearson

• Preferred Provider Organization in Memphis, TN
• Providers in Memphis, TN by specialty
• Preferred Provider Organization in Tennessee

• 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.