Organization Active NPI

Pearle Vision Inc

  • Optometrist
  • Detroit, MI
National Provider Identifier
1467598672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEARLE VISION INC
Practice address
16915 Livernois Ave
Detroit, MI 48221-3058
Phone
(313) 864-8410
Fax
(313) 864-5410
NPI assigned
Jan 29, 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
Wendy Uhls
Title
Medicare Supervisor
Phone
(513) 765-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16915 Livernois Ave
Detroit, MI 48221-3058

Mailing address

16915 Livernois Ave
Detroit, MI 48221-3058
Phone (313) 864-8410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467598672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16915 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213058",
            "telephone_number": "313-864-8410",
            "fax_number": "313-864-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482213058",
            "telephone_number": "313-864-8410",
            "fax_number": "313-864-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "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"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

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.