Organization Active NPI

Amo, Inc.

Doing business as Pearle Vision Center

  • Optician
  • Somerville, MA
National Provider Identifier
1548470552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
MA4389 Issued in MA
Legal business name
AMO, INC.
Doing business as
Pearle Vision Center
Practice address
22 McGrath Hwy
Somerville, MA 02143-4508
Phone
(617) 623-7522
Fax
(617) 696-9468
NPI assigned
May 22, 2007
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
Mrs. Alina Maria Luccio, RDO
Title
Franchise Owner
Phone
(617) 678-9726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X MA4389 MA Primary

Addresses

Primary practice location

22 McGrath Hwy
Somerville, MA 02143-4508

Mailing address

22 McGrath Hwy
Somerville, MA 02143-4508
Phone (617) 623-7522

Other identifiers 1

IdentifierTypeStateIssuer
1529021MedicaidMA

Other names 1

  • Pearle Vision Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amo Inc2 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.

Locations

22 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-1814

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548470552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MCGRATH HWY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434508",
            "telephone_number": "617-623-7522",
            "fax_number": "617-696-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MCGRATH HWY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434508",
            "telephone_number": "617-623-7522",
            "fax_number": "617-696-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCCIO",
        "authorized_official_first_name": "ALINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "617-678-9726",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "MA4389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529021",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, MA

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.