Pearle Vision Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PEARLE VISION INC

Doing business as

Pearle Vision #C6661

Practice address

95 N Moorland Rd
Brookfield Square Mall Unit #A1
Brookfield, WI 53005-6020

Phone

(262) 786-0300

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Wendy Uhls

Title

Medicare Administrator

Phone

(513) 765-3534

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision #C6661 Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1548306004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N MOORLAND RD",
            "address_2": "BROOKFIELD SQUARE MALL UNIT #A1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056020",
            "telephone_number": "262-786-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N MOORLAND RD",
            "address_2": "BROOKFIELD SQUARE MALL UNIT #A1",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056020",
            "telephone_number": "262-786-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
        "authorized_official_telephone_number": "513-765-3534"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision #C6661",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Traci Pavletich, OT
• Robert L Paxton, PA-C
• Jacquelyn Marie Paykel, M.D.
• Michael G Pazdan, LCSW MSSW CSAC ICS S
• Pearle Vision
• Larry Charles Pearson, M.D.
• Amy Elizabeth Pedersen-Baumle, OTR
• Rebecca Messnick Pedersen
• Ellen Claire Pederson-Lewis, LCSW
• Claudia Pedi-Stealey, PT

• Eyewear Supplier in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.