PEARLE VISION #C6658
NPI 1104962752
Eyewear Supplier in Kentwood, MI

Active since January 30, 2007
3205 28TH ST SE, WOODLAND MALL STE #1, KENTWOOD, MI 49512(616) 957-1600 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pearle Vision #c6658 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARLE VISION #C6658 (NPI 1104962752) is a healthcare organization registered as an eyewear supplier in Kentwood, Michigan and active in the NPI registry since January 2007. The organization lists Wendy Uhls, Medicare Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104962752
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NamePEARLE VISION INC
Location Address3205 28TH ST SE, WOODLAND MALL STE #1Kentwood, MI 49512-1695
Mailing Address3205 28th St Se, Woodland Mall Ste #1Kentwood, MI 49512-1695 · (616) 957-1600
Organization SubpartNo
Authorized OfficialWendy UhlsMedicare Supervisor · (513) 765-3534
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 25, 2008
NPI 1104962752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

3205 28TH ST SE, Kentwood, MI 49512

Other Names 1

Doing Business AsPearle Vision #c6658

Other Identifiers 2

Medicare NSC0132600606MI
Medicaid3133833MI

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3205 28TH ST SE, STE 1
KENTWOOD, MI 49512
Eyewear Supplier
3205 28TH ST SE, WOODLAND MALL STE #I102
GRAND RAPIDS, MI 49512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104962752, enumerated as an "organization" on January 30, 2007.

The provider is located at 3205 28TH ST SE WOODLAND MALL STE #1 KENTWOOD, MI 49512 and the phone number is (616) 957-1600.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.