NPIMap

Organization Active NPI

Visual Edge, Inc

  • Optician
  • Kalispell, MT
National Provider Identifier
1366593840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0145852 Issued in MT
Legal business name
VISUAL EDGE, INC
Practice address
20 N Main St
Kalispell Center Mall
Kalispell, MT 59901-4080
Phone
(406) 752-4468
Fax
(406) 756-7353
NPI assigned
Jan 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 0145852 MT Primary

Addresses

Primary practice location

20 N Main St
Kalispell Center Mall
Kalispell, MT 59901-4080

Mailing address

20 N Main St
Kalispell Center Mall
Kalispell, MT 59901-4080
Phone (406) 752-4468

Other identifiers 2

IdentifierTypeStateIssuer
0550706MedicaidMT
0626900003OtherMTMEDICARE DMERC REGION D

Other names 1

  • PEARLE VISION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 N Main St
Kalispell, MT 59901
Phone (406) 752-4468

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": "1366593840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "address_2": "KALISPELL CENTER MALL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014080",
            "telephone_number": "406-752-4468",
            "fax_number": "406-756-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "address_2": "KALISPELL CENTER MALL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014080",
            "telephone_number": "406-752-4468",
            "fax_number": "406-756-7353"
        }
    ],
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MT",
            "license": "0145852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0550706",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC REGION D",
            "identifier": "0626900003",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, 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.

Verify at the official NPI Registry.