Organization
I M I S MINNESOTA 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
2024 EDEN PRAIRIE CENTER, EDEN PRAIRIE, MN 55344
(952) 944-9675
(952) 944-9675
Mailing address
1601 PLYMOUTH ROAD SOUTH, MINNETONKA, MN 55343-1956
(952) 546-4414
(952) 541-0831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102070
EYEMED
—
01
—
164790
U CARE
MN
Enumeration date
02/20/2007
Last updated
07/03/2017
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