PEARLE VISIONCARE, INC (NPI# 1306901301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306901301 |
| Entity Type | Organization |
| Organization Name | PEARLE VISIONCARE, INC |
| Practice Address |
11134 Rancho Carmel Dr Courtyard Ste.#102 San Diego CA 92128-4671 |
| Practice Telephone | 8586731084 |
| Practice Fax Number | 8586731867 |
| Mailing Telephone | 8586731084 |
| Mailing Fax Number | 8586731867 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. WENDY UHLS (MEDICARE SUPERVISOR) |
| Authorized Official Telephone | 5137653534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114083102 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 72 393 Hwy111, Desert Crossing Shopping Center Ste.a, Palm Desert, CA 92260 | 2006-12-28 |
| 1497811483 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 21712 Hawthorne Blvd, Ste 280, Torrance, CA 90503-7028 | 2006-12-28 |
| 1508921594 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 1855 41st Ave, Capitola Mall #g-12, Capitola, CA 95010-2511 | 2006-12-27 |
| 1174688188 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 1620 Saratoga Ave, Westgate S/c #p-301, San Jose, CA 95129-5113 | 2006-12-27 |
| 1295890275 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 4200 Klose Way # B, Hilltop Plaza, Richmond, CA 94806-5713 | 2006-12-27 |
| 1760547731 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 4595 Clairemont Dr, Clairemont, San Diego, CA 92117-5540 | 2006-12-27 |
| 1437214434 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 2525 El Camino Real, Plaza Camino Real - Carlsbad Mall Ste. 101b, Carlsbad, CA 92008-1204 | 2006-12-27 |
| 1356406326 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 2180 Contra Costa Blvd, Courtyard S/c Ste F1, Pleasant Hill, CA 94523-3742 | 2006-12-27 |
| 1144385113 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 2200 Southshore Center, Alameda, CA 94501-5723 | 2006-12-27 |
| 1023174018 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 1689 Arden Way, Arden Fair Mall Ste. 2100, Sacramento, CA 95815-4046 | 2006-12-28 |
| Street Address |
11134 RANCHO CARMEL DR COURTYARD STE.#102 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255579793 | Ray Derakshan, D.m.d. | Preferred Provider Organization | 11134 Rancho Carmel Dr, Suite #103, San Diego, CA 92128-4671 | 2009-01-21 |
| 1235381450 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11134 Rancho Carmel Dr, Ste #102, San Diego, CA 92128-4671 | 2008-10-21 |
| 1770621591 | Ray Derakshan | Dentist | 11134 Rancho Carmel Dr, Suite 103, San Diego, CA 92128-4671 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124545454 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4465 La Jolla Village Dr Ste H-5, San Diego, CA 92122-1218 | 2017-08-28 |
| 1114478187 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7017 Friars Rd, San Diego, CA 92108-1129 | 2016-10-14 |
| 1174882294 | Rachelle Marie Keltner, An Optometry Corp | Eyewear Supplier (Equipment, not the service) | 7875 Highland Village Pl, Ste. B-102, San Diego, CA 92129-5189 | 2012-05-09 |
| 1023208287 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 9560 Ridgehaven Ct, San Diego, CA 92123-1668 | 2007-07-25 |
| 1730228305 | For Eyes Optical of Ca | Eyewear Supplier (Equipment, not the service) | 3689 Midway Dr, Suite D, San Diego, CA 92110-5265 | 2007-02-06 |
| 1962556902 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1640 Camino Del Rio N, Mission Valley Ctr Ste #200, San Diego, CA 92108-1506 | 2007-01-23 |
| 1306996673 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 8730 Rio San Diego Dr, San Diego, CA 92108-5500 | 2007-01-11 |
| 1528118833 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 12080 Carmel Mountain Rd, San Diego, CA 92128-4605 | 2007-01-11 |
| 1174673495 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 7655 Clairemont Mesa Blvd, Sears Essentials, San Diego, CA 92111-1534 | 2007-01-11 |
| 1760547731 | Pearle Visioncare, Inc | Eyewear Supplier (Equipment, not the service) | 4595 Clairemont Dr, Clairemont, San Diego, CA 92117-5540 | 2006-12-27 |
| Find all providers in SAN DIEGO | ||||
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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.