Organization Active NPI

Visual Edge, Inc

  • Optician
  • Rochester, MN
National Provider Identifier
1558413146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1068294 Issued in MN
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

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 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

IdentifierTypeStateIssuer
182M8PEOtherMNBCBS EYEWEAR
21-00292OtherMNMEDICA-UHC
0626900009OtherMNMEDICARE DMERC REGION B
182M5PEOtherMNBCBS VISION EXAMS

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

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.

Verify at the official NPI Registry.