Active NPI
Grace Vision, Inc Dba Pearle Vision
- Optician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- GRACE VISION, INC DBA PEARLE VISION
- Practice address
- 3001 White Bear Ave N
Suite 1050
Saint Paul, MN 55109-1215 - Phone
- (651) 770-3923
- NPI assigned
- Jul 17, 2014
- Last updated
- Dec 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanny M Liu-Wu
- Title
- Owner
- Phone
- (651) 770-3923
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
3001 White Bear Ave N
Suite 1050
Saint Paul, MN 55109-1215
Mailing address
3001 White Bear Ave N Ste 1050
Saint Paul, MN 55109-1283
Phone (651) 770-3923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386077592 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Grace Vision
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Saint Paul, MN
- NPI 1386077592
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Saint Paul, MN
- NPI 1073609715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766188800000",
"number": "1043627466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 WHITE BEAR AVE N STE 1050",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551091283",
"telephone_number": "651-770-3923",
"fax_number": "651-770-5316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 WHITE BEAR AVE N",
"address_2": "SUITE 1050",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551091215",
"telephone_number": "651-770-3923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE VISION, INC DBA PEARLE VISION",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-17",
"last_updated": "2025-12-20",
"certification_date": "2025-12-20",
"status": "A",
"authorized_official_last_name": "LIU-WU",
"authorized_official_first_name": "JEANNY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-770-3923"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386077592",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.