NPIMap

Organization Active NPI

Imis MN Inc

Doing business as Pearle Vision

  • Eyewear Supplier
  • Eagan, MN
National Provider Identifier
1114258936
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
IMIS MN INC
Doing business as
Pearle Vision
Practice address
1270 Promenade PL
Suite 120
Eagan, MN 55121-2299
Phone
(952) 546-4414
Fax
(952) 541-0831
NPI assigned
Jan 18, 2010
Last updated
Jan 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1270 Promenade PL
Suite 120
Eagan, MN 55121-2299

Mailing address

12577 Wayzata Blvd
Minnetonka, MN 55305-1938
Phone (952) 546-4414

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1114258936",
    "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": "1270 PROMENADE PL",
            "address_2": "SUITE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212299",
            "telephone_number": "952-546-4414",
            "fax_number": "952-541-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIS MN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "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": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.