Pearle Vision

LBN: Patjac, Inc.
Pearle Vision is an health care organization with primary practice located at 4118 W Division St , Saint Cloud MN 56301-3706. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Patjac, Inc. can be contacted via phone (320) 252-2021, or through Kane, Patrick O via phone (320) 252-2021.

Contact Information

Primary practice address
4118 W Division St Saint Cloud MN 56301-3706
Fax: (320) 252-7416
Website:
Authorized official contact:
Name: Kane, Patrick O OPTICIAN

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X Minnesota

Profile Details

NPI number 1033118302
LBN Legal business name Patjac, Inc.
DBA Doing business as Pearle Vision
Authorized official Kane, Patrick O OPTICIAN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 21st, 2022 - about 2 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 1033118302 NPPES
Other C02754 WISCONSIN PHY
Other 65209PE WISCONSIN PHY
Other 65208PE WISCONSIN PHY
Other 102081 WISCONSIN PHY
Other 65377 WISCONSIN PHY
Other 110495 WISCONSIN PHY
Other 21-20963 WISCONSIN PHY
MEDICAID 383663100 WISCONSIN PHY

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