Organization
IMI'S MN INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE ARENDS (OWNER)
(952) 546-4414
Entity
Organization
Contact information
Practice address
1980 ROBERT ST S, WEST SAINT PAUL, MN 55118-3923
(651) 451-1805
(651) 451-0330
Mailing address
12577 WAYZATA BLVD, MINNETONKA, MN 55305-1938
(952) 546-4414
(952) 541-0831
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102080
EYEMED
MN
01
—
106790
U CARE
MN
05
—
530031200
—
MN
Enumeration date
02/19/2007
Last updated
07/14/2009
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