Organization
PELLEGRINE, INC DBA PEARLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J PELLEGRINE JR. (PRESIDENT)
(314) 997-1377
Entity
Organization
Contact information
Practice address
11533 OLIVE BLVD, CREVE COEUR, MO 63141-7110
(314) 997-1377
(314) 997-1378
Mailing address
11533 OLIVE BLVD, CREVE COEUR, MO 63141-7110
(314) 997-1377
(314) 997-1378
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
14800888
MO
Other
Enumeration date
10/21/2005
Last updated
08/22/2020
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