Grace Vision, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2339 Issued in MN

Legal business name

GRACE VISION, INC.

Practice address

3001 White Bear Ave N
Suite 1050
Saint Paul, MN 55109-1215

Phone

(651) 770-3924

NPI assigned

Aug 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeanny Mingmy Liu-Wu, O.D.NPI 1073609715

Title

President

Phone

(651) 735-3477

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Grace Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Grace Vision, Inc Dba Pearle Vision

  • Optician
  • Saint Paul, MN
  • NPI 1043627466
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanny M Liu-Wu, OD

  • Optometrist
  • St. Paul, MN
  • NPI 1073609715
  Medicare reassignment Care Compare group NPD Authorized official
• Nathan Haverkamp, OD

  • Optometrist
  • Maplewood, MN
  • NPI 1669967188
  Medicare reassignment Care Compare group NPD
• Sarah Grace Watson, OD

  • Optometrist
  • Maplewood, MN
  • NPI 1396504304
  Medicare reassignment Care Compare group NPD
• Derek You-Chun Wu, OD

  • Optometrist
  • Maplewood, MN
  • NPI 1265207716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766188800000",
    "number": "1386077592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 FAIRWAY DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255019",
            "telephone_number": "651-735-3477",
            "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": "651-770-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "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": "MINGMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-735-3477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073609715",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386077592",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollie Ann Grabitske, R.D.
• Grace & Growth Center LLC
• Grace Elite Transportation LLC
• Grace Haven Sober Living LLC
• Grace Vision, Inc Dba Pearle Vision
• Emmaline Grace
• Margaret Anne Grace, LP
• Marie Grace, LMFT
• Thomas Albert Grace, PH.D., L.P.
• Graceland Services Inc

• Optician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Optician in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.