Jag Vision

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

004724-1 Issued in NY

Legal business name

JAG VISION

Doing business as

Pearle Vision

Practice address

8005 Main St
Williamsville, NY 14221-6016

Phone

(716) 634-9129

Fax

(716) 634-9243

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Richard Austin, DISPENSING OPTICIAN

Title

Vice President

Phone

(716) 634-9129

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1619221231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "PHELPS",
            "state": "NY",
            "postal_code": "145320217",
            "telephone_number": "315-318-4054",
            "fax_number": "315-318-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216016",
            "telephone_number": "716-634-9129",
            "fax_number": "716-634-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-634-9129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "004724-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jacobs
• Taylor Jacobs
• Daniel R Jacobson, M.D.
• Stephanie Jaczewski
• Mahnoor Fatima Jaffri, PA
• Gaurav Jain, MD
• Mary P Jakes, LPN
• Michele Jakson, P.T.
• Christine Jalal, RPH
• James Lawrence MD,PC

• Eyewear Supplier in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.