Active NPI
I M I S Minnesota Inc
- Optometrist
- Eden Prairie, MN
National Provider Identifier
1154466019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- I M I S MINNESOTA INC
- Practice address
- 2024 Eden Prairie Center
Eden Prairie, MN 55344 - Phone
- (952) 944-9675
- Fax
- (952) 944-9675
- NPI assigned
- Feb 20, 2007
- 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
- Mr. Mike Arends
- Title
- Owner
- Phone
- (952) 546-4414
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Contact Lens Technician/Technologist | 156FC0800X | |||
| Contact Lens Fitter | 156FC0801X | |||
| Optician | 156FX1800X |
Addresses
Primary practice location
2024 Eden Prairie Center
Eden Prairie, MN 55344
Mailing address
1601 Plymouth Road South
Minnetonka, MN 55343-1956
Phone (952) 546-4414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102070 | Other | EYEMED | |
| 164790 | Other | MN | U CARE |
Other names 1
- Pearle Vision
National Provider Directory
National Provider Directory- Tax ID family
- Pearle Vision Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Minnetonka, MN
- NPI 1043353949
-
- Optician
- Roseville, MN
- NPI 1043354186
-
- Optician
- West Saint Paul, MN
- NPI 1588708630
-
- Eyewear Supplier
- Eagan, MN
- NPI 1114258936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Eden Prairie, MN
- NPI 1124464045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499040000000",
"number": "1154466019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PLYMOUTH ROAD SOUTH",
"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": "2024 EDEN PRAIRIE CENTER",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55344",
"telephone_number": "952-944-9675",
"fax_number": "952-944-9675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I M I S MINNESOTA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2017-07-03",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "102070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "164790",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.