Imi's MN Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

IMI'S MN INC

Doing business as

Pearle Vision

Practice address

406 Rosedale Shopping Ctr
Roseville, MN 55113-3009

Phone

(651) 631-9394

Fax

(651) 631-9698

NPI assigned

Feb 19, 2007

Last updated

Jul 14, 2009By the provider in NPPES

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 3

Addresses

Other identifiers 4

Other names 1

• Pearle Vision Doing business as

Tax ID family

Pearle Vision5 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

  dba Pearle Vision

  • Optometrist
  • Minnetonka, MN
  • NPI 1043353949
  NPD tax ID
• I M I S Minnesota Inc

  dba Pearle Vision

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

  dba Pearle Vision

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

  dba Pearle Vision

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

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1043354186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12577 WAYZATA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051938",
            "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": "406 ROSEDALE SHOPPING CTR",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133009",
            "telephone_number": "651-631-9394",
            "fax_number": "651-631-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMI'S MN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-07-14",
        "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": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745262400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "181945",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MN1889",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2116828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Roseville, MN
• Providers in Roseville, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.