Organization
PEARLE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FLY (OWNER LICENSED OPTICIAN)
(901) 362-1496
Entity
Organization
Contact information
Practice address
6115 HICKORY RIDGE MALL, MEMPHIS, TN 38115-8806
(901) 362-1496
Mailing address
6115 HICKORY RIDGE MALL, MEMPHIS, TN 38115-8806
(901) 362-1496
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
482
TN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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