Pearle Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEARLE VISION INC

Practice address

29350 Van Dyke Ave
Warren, MI 48093-6765

Phone

(586) 751-5800

Fax

(586) 751-3983

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Addresses

Other identifiers 1

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": "1891840674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29350 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936765",
            "telephone_number": "586-751-5800",
            "fax_number": "586-751-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29350 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936765",
            "telephone_number": "586-751-5800",
            "fax_number": "586-751-3983"
        }
    ],
    "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": "5062169",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peac Consultants LLC
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• Peace Manifested Counseling Service, LLC
• Melissa Pearce
• Pearle Vision Inc
• Maryann Pearsall
• Shanna L Pearson, D.O.
• Joanna R Pease
• Bridget Peck-Hunt
• Jeri Lynne Peckens, B.S.

• Optometrist in Warren, MI
• Providers in Warren, MI by specialty
• Optometrist in Michigan

• 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.