National Provider Identifier Database

PELLEGRINE INC DBA PEARLE VISION
Optician


Contact Information

PELLEGRINE, INC DBA PEARLE VISION
11533 OLIVE BLVD
CREVE COEUR, MO63141-7110
Phone: 314-997-1377
Fax: 314-997-1378
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for PELLEGRINE, INC DBA PEARLE VISION

NPI Number 1598755589
Legal business name
LBN
PELLEGRINE, INC DBA PEARLE VISION
Authorized official PETER PELLEGRINE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/21/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 14800888

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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