GRANITE CITY VISION CTR INC NPI 1396845772

NPI Information

  • NPI: 1396845772
  • Provider Name: GRANITE CITY VISION CTR INC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: PEARLE VISION CTR
  • Address: 3717 NAMEOKI RD
    STE B
    GRANITE CITY, IL
    ZIP 62040
  • Phone: (618) 876-2438

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NPI Details

GRANITE CITY VISION CTR INC is an optometrist in Granite City, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. GRANITE CITY VISION CTR INC NPI is 1396845772. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pearle Vision Ctr.

The provider's business location address is:

3717 NAMEOKI RD
STE B
GRANITE CITY, IL
ZIP 62040-720
Phone: (618) 876-2438
Fax: (618) 876-2440

The provider's authorized official is Byron W Wright .
The authorized official title is Owner and has the following contact phone number (618) 876-2438.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

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
1152W00000XOptometristYes

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
1K21530OTHERMEM GRP
2212403OTHERDMERC

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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