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
1405 MILLER TRUNK HWY, DULUTH, MN 55811
(218) 722-7843
(218) 722-6436
Mailing address
1405 MILLER TRUNK HWY, DULUTH, MN 55811
(218) 722-7843
(218) 722-6436
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1068294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626900008
MEDICARE DMERC REGION B
MN
01
—
182M9PE
BCBS VISION EXAMS
MN
01
—
183M1PE
BCBS EYEWEAR
MN
01
—
21-22995
MEDICA-UHC
MN
Enumeration date
01/16/2007
Last updated
08/07/2007
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