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NPI Code Detail

MEDICARE: PEARLE VISION INC

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
1156FX1800XOptician

General Provider Information

NPI Number : 1700982618
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARLE VISION INC
Provider Business Mailing Address
First Line : 3634 SOLDANO BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1422
Country : US
Telephone Number : 614-279-8711
Fax Number :
Provider Business Practice Location Address
First Line : 3634 SOLDANO BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1422
Country : US
Telephone Number : 614-279-8711
Fax Number :
Authorized Official
Title or Position : MEDICARE SUPERVISOR
Name : MS. WENDY UHLS
Credential :
Telephone Number : 513-765-3534
Provider Enumeration Date : 09/16/2006
Last Update Date : 08/22/2020

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Directions to “PEARLE VISION INC ” Practice Location

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