Pearle Vision

LBN: Real Eyes Llc
Pearle Vision is an health care organization with primary practice located at 8332 Highway 7 Knollwood Mall, St Louis Park MN 55426-3991. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Real Eyes Llc can be contacted via phone (952) 933-3722, or through Burrage, Kimberly via phone (952) 933-3722.

Contact Information

Primary practice address
8332 Highway 7 Knollwood Mall St Louis Park MN 55426-3991
Phone: (952) 933-3722
Fax: (952) 933-6578
Website:
Map and Directions
Authorized official contact:
Name: Burrage, Kimberly
Phone: (952) 933-3722

Health care specialties

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

Profile Details

NPI number 1295887883
LBN Legal business name Real Eyes Llc
DBA Doing business as Pearle Vision
Authorized official Burrage, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Dec 8th, 2008 - about 16 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 1295887883 NPPES
Minnesota Other 0626900006 MEDICARE DMERC REGION B
Minnesota MEDICAID 669479900 MEDICARE DMERC REGION B
Minnesota Other 21-28989 MEDICARE DMERC REGION B
Minnesota Other 21B67PE MEDICARE DMERC REGION B
Minnesota Other 20B03PE MEDICARE DMERC REGION B
Minnesota Other C05046 MEDICARE DMERC REGION B

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