Pearle Vision

LBN: Patjac Inc.
Pearle Vision is an health care organization with primary practice located at 1301 33Rd St S Ste 104, Saint Cloud MN 56301-9668. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Patjac Inc. can be contacted via phone (320) 252-0509, or through Kane, Pat via phone (320) 252-0509.

Contact Information

Primary practice address
1301 33Rd St S Ste 104 Saint Cloud MN 56301-9668
Phone: (320) 252-0509
Fax: (320) 252-5386
Website:
Map and Directions
Authorized official contact:
Name: Kane, Pat
Phone: (320) 252-0509

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1275552382
LBN Legal business name Patjac Inc.
DBA Doing business as Pearle Vision
Authorized official Kane, Pat
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 21st, 2018 - about 6 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 1275552382 NPPES
Minnesota MEDICAID 832255400
Minnesota Other 563G3PE
Minnesota Other 21-00759
Minnesota Other 65377
Minnesota Other 562G3PE
Minnesota Other J738

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