Organization Active NPI

Pearle Vision Inc

  • Optometrist
  • Warren, MI
National Provider Identifier
1831244557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEARLE VISION INC
Practice address
26768 Dequindre Rd
Warren, MI 48091-3939
Phone
(586) 751-3700
Fax
(586) 751-5398
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy Uhls
Title
Medicare Supervisor
Phone
(513) 765-3534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

26768 Dequindre Rd
Warren, MI 48091-3939

Mailing address

26768 Dequindre Rd
Warren, MI 48091-3939
Phone (586) 751-3700

Other identifiers 1

IdentifierTypeStateIssuer
5064646MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision Inc101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

26768 Dequindre Rd
Warren, MI 48091
Phone (586) 751-3700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831244557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26768 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913939",
            "telephone_number": "586-751-3700",
            "fax_number": "586-751-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26768 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913939",
            "telephone_number": "586-751-3700",
            "fax_number": "586-751-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UHLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "MEDICARE SUPERVISOR",
        "authorized_official_telephone_number": "513-765-3534"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5064646",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.