Individual provider Active NPI

Alexander Perl, OPTICIAN

  • Optician
  • Kingston, PA
National Provider Identifier
1790498541
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
142 S Maple Ave
Kingston, PA 18704-3353
Phone
(347) 500-7174
NPI assigned
Dec 26, 2022
Last updated
Dec 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

142 S Maple Ave
Kingston, PA 18704-3353

Mailing address

142 S Maple Ave
Kingston, PA 18704-3353

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL perlenterprisellc@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perl Enterprise Optician CurrentSince Jan 1, 2023 Accepting new patients
Perl Enterprise Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1790498541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S MAPLE AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S MAPLE AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043353",
            "telephone_number": "347-500-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERL",
        "first_name": "ALEXANDER",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "perlenterprisellc@gmail.com",
            "affiliation": "N",
            "address_1": "142 S Maple Ave",
            "city": "Kingston",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187043353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.