Provider Demographics
NPI:1538360961
Name:SPEXINC DBA PEARLE VISION
Entity type:Organization
Organization Name:SPEXINC DBA PEARLE VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUDHA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-273-6200
Mailing Address - Street 1:11001 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-5018
Mailing Address - Country:US
Mailing Address - Phone:703-273-6200
Mailing Address - Fax:703-591-7055
Practice Address - Street 1:11001 LEE HWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5018
Practice Address - Country:US
Practice Address - Phone:703-273-6200
Practice Address - Fax:703-591-7055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier