Eyelash Vision, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EYELASH VISION, LLC

Doing business as

Pearle Vision

Practice address

500 Broad Street
Suite 3
Collegeville, PA 19426-4912

Phone

(610) 831-1100

Fax

(610) 831-1108

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By 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

Ms. Mojeh Mohtashami, STORE GEN. MANAGER

Title

President/Managing Partner

Phone

(610) 831-1100

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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.

• Lisa Ann Buraks, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1033288022
  Medicare reassignment NPD
• Christine Dorothy Hajduk, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1245301191
  Medicare reassignment NPD
• Heather Flint Ford, O.D.

  • Optometrist
  • Cedars, PA
  • NPI 1083767065
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1639478035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 RICHARDS RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871043",
            "telephone_number": "610-783-0301",
            "fax_number": "610-831-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROAD STREET",
            "address_2": "SUITE 3",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264912",
            "telephone_number": "610-831-1100",
            "fax_number": "610-831-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELASH VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MOHTASHAMI",
        "authorized_official_first_name": "MOJEH",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PARTNER",
        "authorized_official_telephone_number": "610-831-1100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "STORE GEN. MANAGER"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Ellis, LPC
• Ogbugo Kalu Emeh, M.D
• Ryan A Estelle, D.M.D.
• Evergreen Care LLC
• Eye Store-Shoppe LLC
• Kaseim Ezell
• Korlu Ezike, LCSW
• Christina Falcon, DC
• Antonia Falcone, M.A., CFY-SLP
• Anne Kathleen Fanelli, M.ED., M.S.W., L.S.W

• Optician in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.