Provider Demographics
NPI:1164073649
Name:PEARLE VISION 8391
Entity Type:Organization
Organization Name:PEARLE VISION 8391
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-548-8710
Mailing Address - Street 1:1681 N CENTRAL EXPY STE 400
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3140
Mailing Address - Country:US
Mailing Address - Phone:972-548-8710
Mailing Address - Fax:
Practice Address - Street 1:1681 N CENTRAL EXPY STE 400
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3140
Practice Address - Country:US
Practice Address - Phone:972-548-8710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier