Pearle Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PEARLE VISION INC

Practice address

37561 S Gratiot Ave
Mt Clemens, MI 48036-2708

Phone

(586) 469-1200

Fax

(586) 469-3540

NPI assigned

Jan 29, 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

Locations

Practitioners 2

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

• Heather Dawidowicz, O.D.

  • Optometrist
  • Clinton TWP, MI
  • NPI 1962557256
  NPD (past)
• Robert Deek, OD

  • Optometrist
  • Novi, MI
  • NPI 1366585234
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912043100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37561 S GRATIOT AVE",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "480362708",
            "telephone_number": "586-469-1200",
            "fax_number": "586-469-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37561 S GRATIOT AVE",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "480362708",
            "telephone_number": "586-469-1200",
            "fax_number": "586-469-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "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": "5011830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Burness DDS, PC
• Patrick M. Flaherty, DO PC
• Baari Pauls
• Katrina Paver
• Robert Jay Paxton
• Heather Ann Pebbles
• Kristen Peers, LPC
• Perceptions Counseling Services, P.C.
• Marianne Perraut, PA-C
• Andrea Perrin, DO

• Optometrist in Mt Clemens, MI
• Providers in Mt Clemens, 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.