NPIMap

Organization Active NPI

Pearle Vision Center

  • Occupational Vision Optometrist
  • Collierville, TN
National Provider Identifier
1851045868
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
Legal business name
PEARLE VISION CENTER
Practice address
1016 W Poplar Ave Ste 112
Collierville, TN 38017-2687
Phone
(901) 850-0811
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mrs. Tina Fly, OPTICIANNPI 1689027757
Title
Owner
Phone
(901) 850-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WX0102X Primary

Addresses

Primary practice location

1016 W Poplar Ave Ste 112
Collierville, TN 38017-2687

Mailing address

1016 W Poplar Ave Ste 112
Collierville, TN 38017-2687
Phone (901) 850-0811

National Provider Directory

National Provider Directory

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1851045868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W POPLAR AVE STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172687",
            "telephone_number": "901-850-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W POPLAR AVE STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172687",
            "telephone_number": "901-850-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "FLY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-850-0811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.