Organization
VISUAL EDGE, INC
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ZWEBER (CEO)
(952) 345-5044
Entity
Organization
Contact information
Practice address
20 N MAIN ST, KALISPELL CENTER MALL, KALISPELL, MT 59901-4080
(406) 752-4468
(406) 756-7353
Mailing address
20 N MAIN ST, KALISPELL CENTER MALL, KALISPELL, MT 59901-4080
(406) 752-4468
(406) 756-7353
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0145852
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550706
—
MT
01
—
0626900003
MEDICARE DMERC REGION D
MT
Enumeration date
01/13/2007
Last updated
08/22/2020
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