Organization
PRECISION VISION INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J PETA JR. (OWNER)
(651) 646-8889
Entity
Organization
Contact information
Practice address
1560 UNIVERSITY AVE, ST PAUL, MN 55104-3908
(651) 646-8889
(651) 646-3761
Mailing address
1560 UNIVERSITY AVE, ST PAUL, MN 55104-3908
(651) 646-8889
(651) 646-3761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102436
UCARE
MN
01
—
2115792
MEDICA CHOICE
MN
01
—
26981PE
BCBS
—
05
—
685762100
—
MN
01
—
9175
HEALTH PARTNERS
MN
Enumeration date
07/11/2006
Last updated
01/12/2012
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