I M I S Minnesota Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

I M I S MINNESOTA INC

Practice address

1601 Plymouth Rd
Minnetonka, MN 55305-1956

Phone

(952) 546-4414

Fax

(952) 541-0831

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mike Arends

Title

Owner

Phone

(952) 546-4414

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Pearle Vision Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• I M I S Minnesota Inc

  • Optometrist
  • Eden Prairie, MN
  • NPI 1154466019
  NPD tax ID
• Imi'S MN Inc

  • Optician
  • Roseville, MN
  • NPI 1043354186
  NPD tax ID
• Imi'S MN Inc

  • Optician
  • West Saint Paul, MN
  • NPI 1588708630
  NPD tax ID
• Imis MN Inc

  • Eyewear Supplier
  • Eagan, MN
  • NPI 1114258936
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Perszyk, OD

  • Optometrist
  • Minnetonka, MN
  • NPI 1366529547
  Medicare reassignment Care Compare group NPD
• Pamela Jo Rupnow, O.D.

  • Optometrist
  • Farmington, MN
  • NPI 1760456479
  Medicare reassignment Care Compare group NPD
• Jennifer L Scott, O.F.

  • Optometrist
  • Eden Prairie, MN
  • NPI 1588872147
  Medicare reassignment Care Compare group NPD
• Trisha Urschel, O.D.

  • Optometrist
  • Eden Prairie, MN
  • NPI 1124464045
  Medicare reassignment Care Compare group NPD
• Brooke Heineman Bush, O.D.

  • Optometrist
  • Elk River, MN
  • NPI 1992966022
  Medicare reassignment NPD
• Anthony Ray Hagerty, OD

  • Optometrist
  • Eden Prairie, MN
  • NPI 1316881980
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043353949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PLYMOUTH ROAD S",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553431956",
            "telephone_number": "952-546-4414",
            "fax_number": "952-541-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PLYMOUTH RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051956",
            "telephone_number": "952-546-4414",
            "fax_number": "952-541-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12577 Wayzata Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553051938",
            "country_code": "US",
            "telephone_number": "952-546-4414",
            "fax_number": "952-541-0831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I M I S MINNESOTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ARENDS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-546-4414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "102069",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "129315",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald R Huser, M.D.
• Nadia A Hussein
• Suhaib Mohamoud Hussein
• Amina Hussien
• Maryam Hussien
• Ian Park DDS PA
• Irene I Ibekwe, NUSE PRACTITIONER
• Kristina Kay Ihlang, APRN, CNP
• Industrious Healing LLC
• Infectious Disease Consultants PA

• Optometrist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.