PEARLE VISION (NPI# 1063679082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063679082 |
| Entity Type | Organization |
| Organization Name | PEARLE VISION |
| Practice Address |
300 Providence Hwy Dedham MA 02026-1804 |
| Practice Telephone | 7813295120 |
| Mailing Telephone | 7813295120 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MS. ELENA VOLNOVA (OPTICIAN) |
| Authorized Official Telephone | 7813295120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 6080 | MA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896908 | Pearle Vision | Eyewear Supplier (Equipment, not the service) | 8101 Glenview Dr, N Richland Hills, TX 76180-8379 | 2015-11-17 |
| 1528279981 | Pearle Vision | Optometrist | 5109 S Pulaski -d, Chicago, IL 60632-4219 | 2007-05-25 |
| 1568685790 | Pearle Vision | Eyewear Supplier (Equipment, not the service) | 20 N Main St Ste B13, Kalispell, MT 59901-4080 | 2007-04-10 |
| 1215057724 | Pearle Vision | Technician/Technologist | 9000 76th St Ste A, Pleasant Prairie, WI 53158-1975 | 2007-03-29 |
| 1386760189 | Pearle Vision | Durable Medical Equipment & Medical Supplies | 329 Us Highway 202-206, Bridgewater, NJ 08807-2442 | 2007-03-22 |
| 1518037589 | Pearle Vision | Technician/Technologist | 550 S Gear Ave, Suite 31, West Burlington, IA 52655-1044 | 2006-11-08 |
| 1235112582 | Pearle Vision | Optometrist | 15 Calle Garrido Morales W, Fajardo, PR 00738-4632 | 2005-11-21 |
| 1568828960 | Pearle Vision | Technician/Technologist | 8989 Skillman St, Dallas, TX 75243-8213 | 2016-01-14 |
| 1649644485 | Pearle Vision | Eyewear Supplier (Equipment, not the service) | 1384 E Belt Line Rd, Richardson, TX 75081-3709 | 2015-11-17 |
| 1225430341 | Pearle Vision | Eyewear Supplier (Equipment, not the service) | 11066 Pecan Park Blvd, 201 B, Cedar Park, TX 78613 | 2014-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEARLE VISION | 4500 Scion Farm # 2, Sunny Isle, Christiansted, VI 00820 |
| Connecticut Business Registrations | PEARLE VISION CENTER, INC. | 2534 Royal Lane, Dallas, TX 75229 |
| North Carolina Corporations | Pearle Vision Center, Inc. | Wachovia Building, 100 South Corcoran St, Durham, NC 27702 |
| Oklahoma Business Registrations | PEARLE VISION CENTER, INC. | Pearle, 2534 Royal Lane, Dallas, TX 75229-0000 |
| Vermont Business Registrations | PEARLE VISION CENTER, INC. (MERGED OUT 3/5/86) | 2534 Royal Lane, Dallas, TX 75229 |
| Colorado Business Entities | PEARLE VISION, INC. | 4000 Luxottica Place, Mason, OH 45040 |
| Connecticut Business Registrations | Pearle Vision, Inc. | 4000 Luxottica Place, Mason, OH 45040 |
| Vermont Business Registrations | PEARLE VISION, INC. | 4000 Luxottica Place, Mason, OH 45040 |
| Indiana Business Entities | PEARLE VISION, INC. | Attn: Tax Dept, 4000 Luxottica Place, Mason, OH 45040 |
| Oklahoma Business Registrations | PEARLE VISION, INC. | 4000 Luxottica Pl, Mason, OH 45040 |
| Street Address |
300 PROVIDENCE HWY |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255452983 | A&s Optical Inc. | Technician/Technologist | 300 Providence Hwy, Dedham, MA 02026-1804 | 2007-04-02 |
| 1184864670 | Yelena Volnova | Technician/Technologist | 300 Providence Hwy, Dedham, MA 02026-1804 | 2009-02-24 |
| 1245446061 | A & S Optical Inc. | Technician/Technologist | 300 Providence Hwy, Dedham, MA 02026-1804 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1780068452 | Keishla Rivera | Preferred Provider Organization | 135 Shawmut St, Chelsea, MA 02150 | 2015-07-13 |
| 1780089755 | Happy Kjc, LLC | Preferred Provider Organization | 29 Harvard St Fl 3, Brookline, MA 02445-7952 | 2014-11-03 |
| 1316369622 | Consolidated Health Plan | Preferred Provider Organization | 2077 Roosevelt Ave, Springfield, MA 01104-1657 | 2014-01-07 |
| 1992131528 | Rockn Kids Dental | Preferred Provider Organization | 51 Galen St, Watertown, MA 02472-4503 | 2013-09-14 |
| 1417399270 | Wahid Mistikawi Dba Greatwoods Family Dentistry | Preferred Provider Organization | 792south Main St, 24, Mansfield, MA 02048-3137 | 2013-07-22 |
| 1114211083 | D. James Thomas Ministries Inc | Preferred Provider Organization | 121 Hazelton St, Mattapan, MA 02126-3135 | 2011-06-07 |
| 1376879197 | Cheri Gaffney | Preferred Provider Organization | 7 Rolling Ridge Rd, Rutland, MA 01543-1782 | 2009-10-29 |
| 1184883282 | Westfield Meadows Corporation | Preferred Provider Organization | 74 Old Holyoke Rd, Westfield, MA 01085-1487 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.