Organization
OPTICAL ASSOCIATES INC
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLIN STRAND JR. (OWNER)
(763) 784-4081
Entity
Organization
Contact information
Practice address
1523 METRO DR, SCHOFIELD, WI 54476-2378
(715) 355-8800
Mailing address
15780 SKYLINE AVE NW, PRIOR LAKE, MN 55372-1629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391735627
ALLIED HEALTH
WI
01
—
658297
PROVANTAGE
WI
01
—
8627
AETNA
WI
01
—
87247
SECURITY HEALTH PLAN
WI
01
—
921513
VISION INS PLAN OF AMERCI
WI
01
—
WI 2955
EYEMED
WI
Enumeration date
04/06/2007
Last updated
06/05/2008
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