Provider Demographics
NPI:1336591247
Name:AIM OPTICAL INC.
Entity Type:Organization
Organization Name:AIM OPTICAL INC.
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-381-1400
Mailing Address - Street 1:2130 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-8601
Mailing Address - Country:US
Mailing Address - Phone:214-381-1400
Mailing Address - Fax:214-381-1497
Practice Address - Street 1:2130 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-8601
Practice Address - Country:US
Practice Address - Phone:214-381-1400
Practice Address - Fax:214-381-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-05
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7536810001Medicare NSC