Pearle Vision Ctr

LBN: Granite City Vision Ctr Inc
Pearle Vision Ctr is an health care organization with primary practice located at 3717 Nameoki Rd Ste B, Granite City IL 62040-3720. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Granite City Vision Ctr Inc can be contacted via phone (618) 876-2438, or through Wright, Byron W via phone (618) 876-2438.

Contact Information

Primary practice address
3717 Nameoki Rd Ste B Granite City IL 62040-3720
Fax: (618) 876-2440
Website:
Authorized official contact:
Name: Wright, Byron W

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1396845772
LBN Legal business name Granite City Vision Ctr Inc
DBA Doing business as Pearle Vision Ctr
Authorized official Wright, Byron W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396845772 NPPES
Other K21530 MEM GRP
Other 212403 MEM GRP

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