K D M Vision Center Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

GA1605 Issued in GA

Legal business name

K D M VISION CENTER INC

Doing business as

PEARLE VISION

Practice address

2150 E Walnut Ave
Ste 10
Dalton, GA 30721-4500

Phone

(706) 226-2722

Fax

(706) 275-6114

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirk D Malerbi, LDONPI 1912252800

Title

Ownerpresident

Phone

(706) 226-2722

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PEARLE VISION Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Dominick Malerbi Jr., O.D.

  • Optometrist
  • Dalton, GA
  • NPI 1912252800
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1588788293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 ARBOR TRL",
            "city": "COHUTTA",
            "state": "GA",
            "postal_code": "307109323",
            "telephone_number": "706-694-2020",
            "fax_number": "206-275-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E WALNUT AVE",
            "address_2": "STE 10",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307214500",
            "telephone_number": "706-226-2722",
            "fax_number": "706-275-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K D M VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MALERBI",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "706-226-2722",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1838",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "GA1605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSED DISPENSING OPTI",
            "identifier": "GA1605",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita Eleanor H. Jordan, PT
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• David Junn, DDS,MS
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• Ashish Mohammad Kabir, M.D.
• Nighat Purnima Kabir, M.D.
• Debra S Kadow
• Heather Jean Kagan, OTR/L
• Maura Suzanne Kalafut, LPC

• Optician in Dalton, GA
• Providers in Dalton, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.