Organization
PEARLE VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY UHLS (MEDICARE SUPERVISOR)
(513) 765-3534
Entity
Organization
Contact information
Practice address
15631 GRAND RIVER AVE, DETROIT, MI 48227-2281
(313) 273-3860
(248) 273-5070
Mailing address
15631 GRAND RIVER AVE, DETROIT, MI 48227-2281
(313) 273-3860
(248) 273-5070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017065
—
MI
Enumeration date
01/24/2007
Last updated
08/22/2020
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