Organization
EDA, INC DBA PEARLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON KING (OWNER/GENERAL MANAGER)
(763) 560-1636
Entity
Organization
Contact information
Practice address
5515 XERXES AVE N, BROOKLYN CENTER, MN 55430-2856
(763) 560-1636
Mailing address
5515 XERXES AVE N, BROOKLYN CENTER, MN 55430-2856
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/14/2007
Last updated
10/15/2007
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