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
3333 HAZELTON RD, EDINA, MN 55435-4204
(952) 926-6149
(952) 926-2729
Mailing address
3333 HAZELTON RD, EDINA, MN 55435-4204
(952) 926-5300
(952) 915-9212
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1068294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626900005
MEDICARE DMERC REGION B
MN
01
—
102075
COLE MANAGED VISION
MN
01
—
21-20194
MEDICA/UNITED HEALTHCARE
MN
01
—
65160PE
BCBS VISION EXAMS
MN
01
—
65161PE
BCBS EYEWEAR
MN
01
—
PE1512548
CLARITY VISION
MN
Enumeration date
06/28/2005
Last updated
08/22/2020
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