Organization
IMI'S MN INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE ARENDS (OWNER)
(952) 546-4414
Entity
Organization
Contact information
Practice address
406 ROSEDALE SHOPPING CTR, ROSEVILLE, MN 55113-3009
(651) 631-9394
(651) 631-9698
Mailing address
12577 WAYZATA BLVD, MINNETONKA, MN 55305-1938
(952) 546-4414
(952) 541-0831
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181945
U CARE
MN
01
—
2116828
MEDICA
—
05
—
745262400
—
MN
01
—
MN1889
EYEMED
MN
Enumeration date
02/19/2007
Last updated
07/14/2009
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