MEDICARE: PEARLE VISION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1144391731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEARLE VISION INC.

Provider Business Mailing Address
First Line	:	600 E ALTAMONTE DR
Second Line	:	STE 1000
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4815
Country	:	US
Telephone Number	:	407-834-6554
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 E ALTAMONTE DR
Second Line	:	STE 1000
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4815
Country	:	US
Telephone Number	:	407-834-6554
Fax Number	:

Authorized Official
Title or Position	:	MEDICARE SUPERVISOR
Name	:	MRS. WENDY UHLS
Credential	:
Telephone Number	:	513-765-3534

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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Directions to “PEARLE VISION INC. ” Practice Location

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