Dba Pearle Vision

LBN: Minnesota Optical Llc
Dba Pearle Vision is an health care organization with primary practice located at 19576 Holt St Nw , Elk River MN 55330. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Minnesota Optical Llc can be contacted via phone (763) 241-2083, or through Tonsager, Gary via phone (763) 241-2083.

Contact Information

Primary practice address
19576 Holt St Nw Elk River MN 55330
Phone: (763) 241-2083
Fax: (763) 241-3801
Website:
Map and Directions
Authorized official contact:
Name: Tonsager, Gary
Phone: (763) 241-2083

Health care specialties

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

Profile Details

NPI number 1831303437
LBN Legal business name Minnesota Optical Llc
DBA Doing business as Dba Pearle Vision
Authorized official Tonsager, Gary
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Mar 9th, 2012 - about 12 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 1831303437 NPPES
Minnesota Other 6627600001 DME

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