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	156FX1800X	Optician

General Provider Information

NPI Number	:	1659472777
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEARLE VISION INC

Provider Business Mailing Address
First Line	:	8145 W SAHARA AVE
Second Line	:	STE 510
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1994
Country	:	US
Telephone Number	:	702-869-1744
Fax Number	:

Provider Business Practice Location Address
First Line	:	8145 W SAHARA AVE
Second Line	:	STE 510
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1994
Country	:	US
Telephone Number	:	702-869-1744
Fax Number	:

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/22/2020

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Directions to “PEARLE VISION INC ” Practice Location

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