PEARLE VISION CENTER (NPI# 1457562266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457562266 |
| Entity Type | Organization |
| Organization Name | PEARLE VISION CENTER |
| Practice Address |
6115 Hickory Ridge Mall Memphis TN 38115-8806 |
| Practice Telephone | 9013621496 |
| Mailing Telephone | 9013621496 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TINA FLY (OWNER LICENSED OPTICIAN) |
| Authorized Official Telephone | 9013621496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 482 | TN | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711451 | Pearle Vision Center | Optometrist | 7737 S Harlem Ave, Bridgeview, IL 60455-1318 | 2009-02-01 |
| 1982853644 | Pearle Vision Center | Eyewear Supplier (Equipment, not the service) | 1726 Rainbow Dr Ste A, Gadsden, AL 35901-5555 | 2008-09-17 |
| 1831219633 | Pearle Vision Center | Technician/Technologist | 11211 New Hampshire Ave Ste A, Silver Spring, MD 20904-2641 | 2007-03-29 |
| 1932347127 | Pearle Vision Center | Technician/Technologist | 14811 Baltimore Ave, Laurel, MD 20707-4817 | 2009-01-27 |
| 1164558516 | Pearle Vision Center | Eyewear Supplier (Equipment, not the service) | 20 Commerce Way, Seekonk, MA 02771 | 2007-02-27 |
| 1881738177 | Pearle Vision Center | Technician/Technologist | 1016 W Poplar Ave Ste 112, Collierville, TN 38017-2687 | 2007-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| 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 |
| Street Address |
6115 HICKORY RIDGE MALL |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38115-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
| 1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
| 1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
| 1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
| Find all providers in zip 38115 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349204 | Quality Care Services of Tennessee | Preferred Provider Organization | 7965 Meadow Vale Dr, Memphis, TN 38125-3121 | 2014-05-24 |
| 1992043111 | L.m. Walker & Associates, P.C. | Preferred Provider Organization | 4250 Faronia Rd Ste 4, Memphis, TN 38116-6527 | 2013-01-23 |
| 1659693471 | Lacy and Bradford Care Facility | Preferred Provider Organization | 3533 Kendrick Rd, Memphis, TN 38108-2026 | 2010-02-20 |
| 1952442063 | Rippee Rehab Inc | Preferred Provider Organization | 5134 Stage Rd, Suite 100, Memphis, TN 38134-3153 | 2007-02-09 |
| 1992230411 | All In One's Hands | Preferred Provider Organization | 2735 S Mendenhall Rd, Suite 8, Memphis, TN 38115-1556 | 2017-04-21 |
| 1396105490 | Kyndal Home Health Care Inc | Preferred Provider Organization | 2264 S Lauderdale St, Memphis, TN 38106-7566 | 2016-03-02 |
| 1801102967 | Good Health Organization Inc | Preferred Provider Organization | 2829 Lamar Ave, Memphis, TN 38114-5016 | 2010-08-27 |
| 1871783274 | Mobile Diagnostic Eyecare | Preferred Provider Organization | 2750 Mount Moriah Pkwy, Memphis, TN 38115-2063 | 2007-07-31 |
| 1427195668 | The Sanders Clinic | Preferred Provider Organization | 6027 Walnut Grove Rd, Suite 401, Memphis, TN 38120-2145 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
| 1063876076 | Petre-jo LLC | Preferred Provider Organization | 607 W Due West Ave Ste 95, Madison, TN 37115-4415 | 2016-04-06 |
| 1417312562 | Germantown Dental | Preferred Provider Organization | 1324 4th Ave N, Nashville, TN 37208-2716 | 2015-12-16 |
| 1083081202 | United Therapy Network LLC | Preferred Provider Organization | 410 New Salem Hwy Ste 103, Murfreesboro, TN 37129-3361 | 2015-08-24 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1235540576 | Absolute Ps, Inc. | Preferred Provider Organization | 404 Karstridge Rd, Smyrna, TN 37167-5132 | 2014-05-08 |
| 1730505173 | Reyland Health & Wellness Solutions | Preferred Provider Organization | 1138 Zirkle Rd, Dandridge, TN 37725-4234 | 2014-03-10 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1396025854 | Blessed Assurance LLC. | Preferred Provider Organization | 113 Hatcher Creek Ln, Walland, TN 37886-2608 | 2011-08-27 |
| 1407149552 | Sleep Diagnostic Center | Preferred Provider Organization | 382 Atoka Mclaughlin Dr Ste C, Atoka, TN 38004-4923 | 2011-05-24 |
| 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.