Precision Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRECISION VISION INC

Doing business as

Pearle Vision

Practice address

1560 University Ave
St Paul, MN 55104-3908

Phone

(651) 646-8889

Fax

(651) 646-3761

NPI assigned

Jul 11, 2006

Last updated

Jan 12, 2012By 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

Mr. William J Peta Jr.

Title

Owner

Phone

(651) 646-8889

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Dale E Nelson, OD

  • Optometrist
  • Glencoe, MN
  • NPI 1083613830
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1669407664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 UNIVERSITY AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551043908",
            "telephone_number": "651-646-8889",
            "fax_number": "651-646-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 UNIVERSITY AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551043908",
            "telephone_number": "651-646-8889",
            "fax_number": "651-646-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "PETA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-646-8889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Marie Praus, MD
• Praxair Healthcare Services, Inc.
• Savan Preap, LADC
• Precious Health Services, LLC
• Precision Lab LLC
• Prelease SBC
• Premier Dental
• Premier Handicap Services
• Premier Health of Roseville, LTD
• Premier Health of West Saint Paul LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.