PEARLE VISION INC (NPI# 1588993711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588993711 |
| Entity Type | Organization |
| Organization Name | PEARLE VISION INC |
| Other Organization Name | PEARLE VISION #C6319 |
| Practice Address |
4301 W Wisconsin Ave Fox River Mall Appleton WI 54913-8605 |
| Mailing Address |
4000 Luxottica Pl Attn Medicare Dept Mason OH 45040-8114 |
| Practice Telephone | 9207316116 |
| Mailing Telephone | 9207316116 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | WENDY UHLS (MEDICARE ADMINISTRATOR) |
| 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 |
| Other Name | Type Code |
|---|---|
| PEARLE VISION #C6319 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952621195 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 1940 Greeley Mall Ave, Greeley Mall #27, Greeley, CO 80631-8520 | 2010-06-10 |
| 1205153145 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 5775 Beckley Dr, Lakeview Square Ste #a135, Battle Creek, MI 49015-7102 | 2010-05-03 |
| 1033435755 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Rte 315, Triangle Plaza, Wilkes-barre, PA 18702 | 2010-04-20 |
| 1225352990 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 704 E Rand St, South Point S/c, Arlington Heights, IL 60004 | 2010-03-24 |
| 1083938443 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 4495101 Roosevelt Blvd, Roosevelt Blvd, Jacksonville, FL 32210 | 2010-03-15 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1952632127 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 12733 Jefferson Ave, Newport News, VA 23602-4317 | 2010-01-27 |
| 1215267463 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 3001 Knoxville Ctr Rd, Knoxville Ctr Mall Ste #1150, Knoxville, TN 37924-5044 | 2010-01-12 |
| 1326378217 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 654 Briarwood Cir, Briarwood Mall Ste #d128, Ann Arbor, MI 48108-1612 | 2009-12-28 |
| 1598094427 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 1445 Hwy 35 S, Middletown Plaza, Middletown, NJ 07748 | 2009-12-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PEARLE VISION INC. |
| Street Address |
4301 W WISCONSIN AVE FOX RIVER MALL |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174622583 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #144, Appleton, WI 54913-8605 | 2006-09-22 |
| 1760018451 | Khone Yang | Pharmacist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2020-03-13 |
| 1366828360 | Robert Sikes | Pharmacist | 4301 W Wisconsin Ave, Suite 42, Appleton, WI 54913-8605 | 2015-08-03 |
| 1174876601 | Chintan Brahmbhatt | Pharmacist | 4301 W Wisconsin Ave, Suite 42 (t-0238), Appleton, WI 54913-8605 | 2012-10-22 |
| 1700136603 | Simi Simon | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2012-09-18 |
| 1154521144 | Dr Rick Davison and Assoc, LLC | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2007-07-19 |
| 1114075975 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2007-01-08 |
| 1114074416 | Nicholas George Hafeman | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2007-01-05 |
| 1629147137 | Richard Davison | Optometrist | 4301 W Wisconsin Ave, Appleton, WI 54913-8605 | 2006-11-07 |
| 1245328616 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #812, Appleton, WI 54913-8605 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| 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 |
|---|---|---|---|---|
| 1871159244 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1490 Oneida St, Appleton, WI 54915-7100 | 2019-05-11 |
| 1982260352 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3525 E Calumet St Ste 1400, Appleton, WI 54915-4181 | 2019-05-11 |
| 1174622583 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #144, Appleton, WI 54913-8605 | 2006-09-22 |
| 1508422924 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1033 W Northland Ave Ste B, Appleton, WI 54914-1499 | 2019-05-10 |
| 1942793179 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 2101 E Evergreen Dr, Appleton, WI 54913-9001 | 2018-06-12 |
| 1265830301 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2600 W College Ave, Suite 1a, Appleton, WI 54914-4200 | 2014-12-05 |
| 1114100518 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | W3208 Van Roy Rd, Appleton, WI 54915 | 2007-12-10 |
| 1114075975 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 | 2007-01-08 |
| 1043386600 | Optivision Eye Care LLP | Eyewear Supplier (Equipment, not the service) | 223 S Nicolet Rd, Appleton, WI 54914-3938 | 2006-11-27 |
| 1245328616 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4301 W Wisconsin Ave, Fox River Mall #812, Appleton, WI 54913-8605 | 2006-10-11 |
| Find all providers in APPLETON | ||||
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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.