Organization Active NPI

S & a Optical

Doing business as Pearle Vision

  • Eyewear Supplier
  • Fort Worth, TX
National Provider Identifier
1598915175
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
S & A OPTICAL
Doing business as
Pearle Vision
Practice address
309 S Oakland Blvd
Fort Worth, TX 76103-3762
Phone
(817) 534-4700
Fax
(817) 531-2534
NPI assigned
Sep 19, 2008
Last updated
Sep 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Alexander Nason
Title
President
Phone
(817) 534-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

309 S Oakland Blvd
Fort Worth, TX 76103-3762

Mailing address

309 S Oakland Blvd
Fort Worth, TX 76103-3762
Phone (817) 534-4700

Other identifiers 1

IdentifierTypeStateIssuer
019759201MedicaidTX

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

309 S Oakland Blvd
Ft Worth, TX 76103
Phone (817) 534-4700

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1598915175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033762",
            "telephone_number": "817-534-4700",
            "fax_number": "817-531-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S OAKLAND BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033762",
            "telephone_number": "817-534-4700",
            "fax_number": "817-531-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & A OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "NASON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-534-4700"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019759201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.