Pearle Vision Wheaton

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1057 Issued in MD

Legal business name

PEARLE VISION WHEATON

Practice address

11193 Veirs Mill Rd
Wheaton, MD 20902-2534

Phone

(301) 946-4700

Fax

(301) 933-2238

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. David Kepner, ODNPI 1043335359

Title

Owner

Phone

(301) 946-4700

Specialties & licenses 1

Addresses

Tax ID family

Ka Wheaton Inc2 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.

• Ka Wheaton Inc

  • Ophthalmology Physician
  • Wheaton, MD
  • NPI 1518314988
  NPD tax ID

Locations

Practitioners 1

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

• David Ivor Kepner, O.D.

  • Optometrist
  • Wheaton, MD
  • NPI 1043335359
  NPD (past) Authorized official

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1992136584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11193 VEIRS MILL RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022534",
            "telephone_number": "301-946-4700",
            "fax_number": "301-933-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLE VISION WHEATON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "KEPNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-946-4700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Alfred Oristian, M.D.
• Pain Relief Chiropractic
• Masum V Patel, PHARM. D
• Mona G Patel, PHARM.D.
• Paul Paulo, PT
• Pediatric Associates
• Noel Vetticad Pesce, MD
• Peter a Winkelman, DDS,PA
• Phan Eyecare LLC
• Hong Van Phan, OD

• Optometrist in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.