NPIMap

Organization Active NPI

Double Image, Inc

Doing business as Pearle Vision

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
National Provider Identifier
1477624252
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DOUBLE IMAGE, INC
Doing business as
Pearle Vision
Practice address
3001 White Bear Ave N
Suite 1050
Saint Paul, MN 55109-1215
Phone
(651) 770-3923
Fax
(651) 770-5316
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Stephannie L KellerNPI 1902991466
Title
President
Phone
(952) 435-2662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 241509
Apple Valley, MN 55124-1509
Phone (952) 435-2662

Other identifiers 2

IdentifierTypeStateIssuer
3C314PEOtherMNBLUE CROSS BLUE SHIELD MN
2120179OtherMNMEDICA

Other names 1

  • PEARLE VISION Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1477624252",
    "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": "3001 WHITE BEAR AVE N",
            "address_2": "SUITE 1050",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551091215",
            "telephone_number": "651-770-3923",
            "fax_number": "651-770-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE IMAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "3C314PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2120179",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • 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.