Active NPI
Visual Edge, Inc
- Optician
- Rochester, MN
National Provider Identifier
1558413146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1068294
- Legal business name
- VISUAL EDGE, INC
- Practice address
- 1035 5TH St NW
Rochester, MN 55901-2755 - Phone
- (507) 282-6852
- Fax
- (507) 282-9689
- NPI assigned
- Jan 17, 2007
- 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 | 1068294 | MN | Primary |
Addresses
Primary practice location
1035 5TH St NW
Rochester, MN 55901-2755
Mailing address
1035 5TH St NW
Rochester, MN 55901-2755
Phone (507) 282-6852
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182M8PE | Other | MN | BCBS EYEWEAR |
| 21-00292 | Other | MN | MEDICA-UHC |
| 0626900009 | Other | MN | MEDICARE DMERC REGION B |
| 182M5PE | Other | MN | BCBS VISION EXAMS |
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.
-
- Optician
- Edina, MN
- NPI 1457357071
-
- Optician
- Duluth, MN
- NPI 1679624621
-
- Eyewear Supplier
- Kalispell, MT
- NPI 1568685790
-
- Optician
- Bozeman, MT
- NPI 1184775678
-
- Optician
- Billings, MT
- NPI 1225189848
-
- Optician
- Kalispell, MT
- NPI 1366593840
Locations
1035 Civic Center Dr NW
Rochester, MN 55901
Phone (507) 282-6852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558413146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 5TH ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012755",
"telephone_number": "507-282-6852",
"fax_number": "507-282-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 5TH ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559012755",
"telephone_number": "507-282-6852",
"fax_number": "507-282-9689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISUAL EDGE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"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": "MN",
"license": "1068294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EYEWEAR",
"identifier": "182M8PE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA-UHC",
"identifier": "21-00292",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC REGION B",
"identifier": "0626900009",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS VISION EXAMS",
"identifier": "182M5PE",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PEARLE VISION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, MN
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.