Organization
DOUBLE IMAGE, INC
Active
Organization
DOUBLE IMAGE, INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANNIE L KELLER (PRESIDENT)
(952) 435-2662
Entity
Organization
Contact information
Practice address
1056 BURNSVILLE CTR, BURNSVILLE, MN 55306-4408
(952) 435-2662
(952) 435-2624
Mailing address
PO BOX 241509, APPLE VALLEY, MN 55124-1509
(952) 435-2662
(952) 435-2624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120188
MEDICA
MN
01
—
3C310PE
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
11/07/2006
Last updated
07/31/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up