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
1035 5TH ST NW, ROCHESTER, MN 55901-2755
(507) 282-6852
(507) 282-9689
Mailing address
1035 5TH ST NW, ROCHESTER, MN 55901-2755
(507) 282-6852
(507) 282-9689
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1068294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626900009
MEDICARE DMERC REGION B
MN
01
—
182M5PE
BCBS VISION EXAMS
MN
01
—
182M8PE
BCBS EYEWEAR
MN
01
—
21-00292
MEDICA-UHC
MN
Enumeration date
01/17/2007
Last updated
08/22/2020
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