Double Image, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DOUBLE IMAGE, INC

Doing business as

Pearle Vision

Practice address

1056 Burnsville Ctr
Burnsville, MN 55306-4408

Phone

(952) 435-2662

Fax

(952) 435-2624

NPI assigned

Nov 7, 2006

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephannie L Keller

Title

President

Phone

(952) 435-2662

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pearle Vision Doing business as

Tax ID family

Double Image Inc2 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.

• Double Image, Inc

  dba Pearle Vision

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
  • NPI 1477624252
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanny M Liu-Wu, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1073609715
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1396814281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241509",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551241509",
            "telephone_number": "952-435-2662",
            "fax_number": "952-435-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 BURNSVILLE CTR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064408",
            "telephone_number": "952-435-2662",
            "fax_number": "952-435-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE IMAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "STEPHANNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-435-2662"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2120188",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "3C310PE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haimlawattie Doobay
• Doorway Counseling
• Caitlin Dorle
• Andrew Mark Doroschak, D.D.S., M.S.
• Alison Dotzenrod, OT
• Melissa Beth Doucette, MA LMFT
• Morgan Douglas, OTR/L
• Alexandra Alicia Doyle
• Scott Lawrence Doyle, D.D.S., M.S.
• Dr. Gregory M. Macik, Optometrist, P.a. (Burnsville Eye Clinic)

• Durable Medical Equipment & Medical Supplies in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.