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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 Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for PELLEGRINE, INC DBA PEARLE VISION

NPI Number 1598755589
LBN Legal business name PELLEGRINE, INC DBA PEARLE VISION
Authorized official PETER PELLEGRINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/21/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 14800888
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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