FADEA INC NPI 1215052477

NPI Information

  • NPI: 1215052477
  • Provider Name: FADEA INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: PEARLE VISION
  • Address: 1371 TOWN CENTER DR
    LAKELAND, FL
    ZIP 33803
  • Phone: (863) 413-0200

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NPI Details

FADEA INC is an optician technician technologist in Lakeland, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. FADEA INC NPI is 1215052477. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pearle Vision.

The provider's business location address is:

1371 TOWN CENTER DR
LAKELAND, FL
ZIP 33803-964
Phone: (863) 413-0200
Fax: (863) 413-0227

The provider's authorized official is Frank Plumb .
The authorized official title is Owner and has the following contact phone number (863) 413-0200.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 6/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianDO 5653FLORIDANo
2156FX1800XTechnician/TechnologistOpticianDO4437FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139-80132227906OTHERFLORIDASALES TAX ID #
2223338OTHERFLORIDAEYEMED VISION CARE
3=========OTHERFLORIDATAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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