Provider Demographics
NPI:1164558516
Name:PEARLE VISION CENTER
Entity Type:Organization
Organization Name:PEARLE VISION CENTER
Other - Org Name:BAR HARBOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:PENDER
Authorized Official - Suffix:
Authorized Official - Credentials:RDO
Authorized Official - Phone:508-336-7040
Mailing Address - Street 1:20 COMMERCE WAY
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771
Mailing Address - Country:US
Mailing Address - Phone:508-336-7040
Mailing Address - Fax:508-336-7044
Practice Address - Street 1:20 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771
Practice Address - Country:US
Practice Address - Phone:508-336-7040
Practice Address - Fax:508-336-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier