Active NPI
Pearle Vision
- Eyewear Supplier
- Kalispell, MT
National Provider Identifier
1568685790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- PEARLE VISION
- Practice address
- 20 N Main St Ste B13
Kalispell, MT 59901-4080 - Phone
- (406) 752-4468
- NPI assigned
- Apr 10, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Zweber
- Title
- Owner
- Phone
- (406) 752-4468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | MT | Primary |
Addresses
Primary practice location
20 N Main St Ste B13
Kalispell, MT 59901-4080
Mailing address
20 N Main St Ste B13
Kalispell, MT 59901-4080
Phone (406) 752-4468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550706 | Medicaid | MT |
National Provider Directory
National Provider Directory- Tax ID family
- Pearle Vision
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
Locations
20 N Main St
Ste B13
Kalispell, MT 59901
Phone (406) 752-4468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568685790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N MAIN ST STE B13",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014080",
"telephone_number": "406-752-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N MAIN ST STE B13",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599014080",
"telephone_number": "406-752-4468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARLE VISION",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZWEBER",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-752-4468"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0550706",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
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.