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
W 385 WEST MARKET, MALL OF AMERICA, BLOOMINGTON, MN 55425
(952) 854-4500
(952) 858-8525
Mailing address
W 385 WEST MARKET, MALL OF AMERICA, BLOOMINGTON, MN 55425
(952) 854-4500
(952) 858-8525
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1068294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626900001
MEDICARE DMERC REGION B
MN
01
—
21-26597
MEDICA-UHC
MN
01
—
4B398PE
BCBS VISION EXAMS
MN
01
—
4B400PE
BCBS EYEWEAR
MN
01
—
PE1512536
CLARITY VISION
MN
Enumeration date
01/16/2007
Last updated
08/22/2020
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