Provider Demographics
NPI:1376664110
Name:ACM VISION CENTER
Entity Type:Organization
Organization Name:ACM VISION CENTER
Other - Org Name:PEARLE VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NEHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-997-6591
Mailing Address - Street 1:341 STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-4313
Mailing Address - Country:US
Mailing Address - Phone:508-997-6591
Mailing Address - Fax:508-994-9175
Practice Address - Street 1:341 STATE RD
Practice Address - Street 2:
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-4313
Practice Address - Country:US
Practice Address - Phone:508-997-6591
Practice Address - Fax:508-994-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA102652OtherEYEMED
MA1533258Medicaid
MA004136OtherNEIGHBORHOOD HEALTH PLAN
MA0902520001Medicare ID - Type UnspecifiedMEDICARE