Pearle Vision

LBN: Jd Eyes, Inc
Pearle Vision is an health care organization with primary practice located at 12771 Riverdale Blvd Nw Suite 103, Coon Rapids MN 55448-1262. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jd Eyes, Inc can be contacted via phone (763) 421-1220, or through Johnson, Kara Durick via phone (763) 355-8512.

Contact Information

Primary practice address
12771 Riverdale Blvd Nw Suite 103 Coon Rapids MN 55448-1262
Phone: (763) 421-1220
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kara Durick Doctor of Optometry (OD)
Phone: (763) 355-8512

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MN2732 Minnesota

Profile Details

NPI number 1609292077
LBN Legal business name Jd Eyes, Inc
DBA Doing business as Pearle Vision
Authorized official Johnson, Kara Durick Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2014
Last updated Mar 10th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609292077 NPPES
Minnesota MEDICAID 005323600

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