Organization
MCGREEVY INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL MCGREEVY (PRESIDENT)
(612) 827-3857
Entity
Organization
Contact information
Practice address
115 EAST LAKE ST, MINNEAPOLIS, MN 55408
(612) 827-3857
(612) 827-7204
Mailing address
115 EAST LAKE ST, MINNEAPOLIS, MN 55408
(612) 827-3857
(612) 827-7204
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09301PE
BLUE CROSS BLUE SHIELD
MN
01
—
102433
UCARE
MN
01
—
13390PE
BLUE CROSS BLUE SHIELD
MN
01
—
21161991
MEDICA
MN
01
—
92237
PREFERRED ONE
MN
Enumeration date
09/25/2006
Last updated
08/22/2020
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