Organization Active NPI

Pearle Vision

  • Optometrist
  • Lake Bluff, IL
National Provider Identifier
1952421380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEARLE VISION
Practice address
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone
(847) 482-9990
Fax
(847) 482-9991
NPI assigned
Mar 30, 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
Emma Loyffman
Title
Optometrist
Phone
(847) 482-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

233 Waukegan Rd
Lake Bluff, IL 60044-1666

Mailing address

233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (847) 482-9990

National Provider Directory

National Provider Directory
Tax ID family
Peale Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952421380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441666",
            "telephone_number": "847-482-9990",
            "fax_number": "847-482-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441666",
            "telephone_number": "847-482-9990",
            "fax_number": "847-482-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOYFFMAN",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-482-9990"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

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.