Active NPI
Visual Edge, Inc
Doing business as Pearle Vision
- Optician
- Bozeman, MT
National Provider Identifier
1184775678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 0145852
- Legal business name
- VISUAL EDGE, INC
- Doing business as
- Pearle Vision
- Practice address
- 2825 W Main St Ste 5D
Bozeman, MT 59718-3927 - Phone
- (406) 587-4214
- Fax
- (406) 586-8738
- NPI assigned
- Jan 13, 2007
- Last updated
- Aug 22, 2020
- 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. Joseph Zweber
- Title
- Ceo
- Phone
- (952) 345-5044
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 0145852 | MT | Primary |
Addresses
Primary practice location
2825 W Main St Ste 5D
Bozeman, MT 59718-3927
Mailing address
2825 W Main St Ste 5D
Bozeman, MT 59718-3927
Phone (406) 587-4214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0550901 | Medicaid | MT | |
| 0626900004 | Other | MT | MEDICARE DMERC REGION D |
Other names 1
- PEARLE VISION
National Provider Directory
National Provider Directory- Tax ID family
- Pearle Vision
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Kalispell, MT
- NPI 1568685790
Locations
2825 W Main St
Ste 5D
Bozeman, MT 59718
Phone (406) 587-1212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184775678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 W MAIN ST STE 5D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183927",
"telephone_number": "406-587-4214",
"fax_number": "406-586-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 W MAIN ST STE 5D",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597183927",
"telephone_number": "406-587-4214",
"fax_number": "406-586-8738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISUAL EDGE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZWEBER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "952-345-5044",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MT",
"license": "0145852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0550901",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC REGION D",
"identifier": "0626900004",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PEARLE VISION",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.