Organization
MIZ INC.
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER ZIMMERMAN (PRESIDENT)
(218) 828-4024
Entity
Organization
Contact information
Practice address
15670 EDGEWOOD DR STE 100, BAXTER, MN 56401-1530
(218) 828-4024
(218) 828-9759
Mailing address
15670 EDGEWOOD DR STE 100, BAXTER, MN 56401-1530
(218) 828-4024
(218) 828-9759
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202R6PE
BS GROUP NUMBER
MN
01
—
204R3PE
BS GROUP NUMBER
MN
Enumeration date
11/21/2006
Last updated
07/08/2024
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