PEARLE VISION (NPI# 1659582492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659582492 |
| Entity Type | Organization |
| Organization Name | PEARLE VISION |
| Practice Address |
485 Arsenal St Watertown MA 02472-5091 |
| Mailing Address |
57 Thorndike St Brookline MA 02446-2405 |
| Practice Telephone | 6179232022 |
| Mailing Telephone | 6172726298 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LUBOV NASCIMENTO (MANAGER) |
| Authorized Official Telephone | 6179232022 |
| Authorized Official Credential | RDO #5548 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| X | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| 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 |
| Massachusetts Corporations | PEARLE VISION CENTER, INC. | 2534 Royal Lane, Dallas, TX 75229 |
| Vermont Business Registrations | PEARLE VISION CENTER, INC. (MERGED OUT 3/5/86) | 2534 Royal Lane, Dallas, TX 75229 |
| Virginia Business Entities | PEARLE VISION INC. | |
| 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 |
| Street Address |
485 ARSENAL ST |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980230 | Jahansouz Shokri | Internal Medicine | 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 | 2005-05-30 |
| 1497352785 | Kelli Sims | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2020-10-08 |
| 1912464793 | Carolyn Comeau | Nurse Practitioner | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-27 |
| 1699231167 | Jenna D Picton | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2019-02-20 |
| 1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
| 1255848123 | Patrick Mccarthy | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2018-01-02 |
| 1144747197 | Kevin Andrew Deleonardo | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2017-08-29 |
| 1659825016 | Semie Durrani | Pharmacist | 485 Arsenal St, Pharmacy Admin Dept., Watertown, MA 02472-5091 | 2016-08-15 |
| 1467809384 | Marie Wenzel | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-20 |
| 1336596717 | Katherine Loomer | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902943947 | Watertown Memorial Hospital | Non-Pharmacy Dispensing Site | 125 Hospital Dr, Watertown, WI 53098-3303 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568889707 | Us Pharmacy Corp | Non-Pharmacy Dispensing Site | 210 Park Ave Ste 289, Worcester, MA 01609-2246 | 2014-03-26 |
| 1801018999 | City of Fall River Mass | Non-Pharmacy Dispensing Site | 1 Government Ctr, Room 431, Fall River, MA 02722-7700 | 2007-05-02 |
| 1114978566 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 260 Elm St Ste 109, Somerville, MA 02144 | 2006-05-12 |
| 1922413749 | Microbiome Health Research Institute | Non-Pharmacy Dispensing Site | 196 Boston Ave, Suite 1000, Medford, MA 02155-4236 | 2014-07-01 |
| 1417072950 | Vision Showcase | Non-Pharmacy Dispensing Site | 359 Russell St, Hadley, MA 01035-3536 | 2007-03-21 |
| 1275588816 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 1055 Commonwealth Ave, Boston, MA 02215 | 2006-05-23 |
| 1184679722 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 631 Lincoln St, Worcester, MA 01605 | 2006-05-23 |
| 1023069473 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 3550 Main St Ste 201, Springfield, MA 01107 | 2006-05-12 |
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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.