PEARLE VISION #C6443
NPI 1275696353
Eyewear Supplier in Dewitt, NY

Active since December 19, 2006
3493 ERIE BLVD E, DEWITT, NY 13214(315) 445-2400 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Eyewear Supplier

About PEARLE VISION #C6443

This page provides the complete NPI Profile along with additional information for Pearle Vision #c6443, a provider established in Dewitt, New York operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1275696353 assigned on December 2006. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Pearle Vision #c6443. The authorized official of this NPI record is Mr. Terry Kroth (Specialist)

NPI
1275696353 Verify this NPI
Provider Legal Name
LUXOTTICA RETAIL NORTH AMERICA INC
Other Organization Name
PEARLE VISION #C6443
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3493 ERIE BLVD E DEWITT, NY 13214
Location Phone
(315) 445-2400
Mailing Address
4000 LUXOTTICA PL ATTN MEDICARE DEPT MASON, OH 45040
Mailing Phone
(315) 445-2400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2006
Last Update Date
07-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Eyewear Supplier

Taxonomy Code
332H00000X
Type
Suppliers
Taxonomy Description
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TERRY KROTH

Authorized Official Title
SPECIALIST
Authorized Official Phone
(513) 765-3060

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0180151597MEDICARE NSC (07)NY 

Reviews for PEARLE VISION #C6443

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Eyewear Supplier
3493 ERIE BLVD E
DEWITT, NY 13214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275696353, enumerated as an "organization" on December 19, 2006.

The provider is located at 3493 ERIE BLVD E DEWITT, NY 13214 and the phone number is (315) 445-2400.

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.