Organization
PEARLE VISION INC
Active
Other names
Pearle Vision #C6658
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE SUPERVISOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
3205 28TH ST SE, WOODLAND MALL STE #1, KENTWOOD, MI 49512-1695
(616) 957-1600
Mailing address
3205 28TH ST SE, WOODLAND MALL STE #1, KENTWOOD, MI 49512-1695
(616) 957-1600
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133833
—
MI
Enumeration date
01/30/2007
Last updated
04/25/2008
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