Provider Demographics
NPI:1134654825
Name:STARK VISION INC.
Entity Type:Organization
Organization Name:STARK VISION INC.
Other - Org Name:DBA PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:J
Authorized Official - Last Name:PYATSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-466-4555
Mailing Address - Street 1:2914 OAKWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7122
Mailing Address - Country:US
Mailing Address - Phone:954-921-5330
Mailing Address - Fax:
Practice Address - Street 1:2914 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-7122
Practice Address - Country:US
Practice Address - Phone:954-921-5330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty