PEARLE VISION INC. NPI 1669543948

Eyewear Supplier in Winston Salem, NC

Organization Eyewear Supplier

About PEARLE VISION INC.

Pearle Vision Inc. is a provider established in Winston Salem, North Carolina specializing in eyewear supplier. The NPI number of Pearle Vision Inc. is 1669543948 and was assigned on November 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 authorized official of this NPI record is Ms. Wendy Uhls (Medicare Supervisor)

NPI

1669543948

Provider NamePEARLE VISION INC.
Provider Location Address1010 S STRATFORD RD WINSTON SALEM, NC 27103
Provider Mailing Address1010 S STRATFORD RD WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date11-10-2006
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

PEARLE VISION INC.
1010 S STRATFORD RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-9262

Get Directions

Mailing Address

PEARLE VISION INC.
1010 S STRATFORD RD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-9262

Authorized Official

Authorized Official NameMS. WENDY UHLS
Authorized Official TitleMEDICARE SUPERVISOR
Authorized Official Phone(513) 765-3534

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0132600271MEDICARE ID-TYPE UNSPECIFIED (04)NC

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033368220DRS GOUGH & LATHAM
Organization
Eyewear Supplier1010 S STRATFORD RD
WINSTON SALEM, NC 27103
(336) 768-9262
1861569113DR. DARLA K LATHAM O.D.
Individual
Optometrist1010 S STRATFORD RD
WINSTON SALEM, NC 27103
(336) 768-9262

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.