Pearle Visioncare Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PEARLE VISIONCARE INC

Doing business as

Pearle Vision #C6014

Practice address

3401 Dale Rd
Vintage Faire Mall Ste 303
Modesto, CA 95356-0505

Phone

(209) 527-6843

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Uhls

Title

Medicare Administrator

Phone

(513) 765-3534

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision #C6014 Doing business as

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1760547756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 DALE RD",
            "address_2": "VINTAGE FAIRE MALL STE 303",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560505",
            "telephone_number": "209-527-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 DALE RD",
            "address_2": "VINTAGE FAIRE MALL STE 303",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560505",
            "telephone_number": "209-527-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISIONCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE ADMINISTRATOR",
        "authorized_official_telephone_number": "513-765-3534",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision #C6014",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Modesto, CA
• Providers in Modesto, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.