IMI'S MN INC (NPI# 1043354186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043354186 |
Entity Type | Organization |
Organization Name | IMI'S MN INC |
Other Organization Name | PEARLE VISION |
Practice Address |
406 Rosedale Shopping Ctr Roseville MN 55113-3009 |
Mailing Address |
12577 Wayzata Blvd Minnetonka MN 55305-1938 |
Practice Telephone | 6516319394 |
Practice Fax Number | 6516319698 |
Mailing Telephone | 9525464414 |
Mailing Fax Number | 9525410831 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2009-07-14 |
Authorized Official Name | MR. MIKE ARENDS (OWNER) |
Authorized Official Telephone | 9525464414 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
Eye and Vision Services Providers | ||
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 745262400 | 05 | |
MEDICA | 2116828 | 01 | |
MN | U CARE | 181945 | 01 |
MN | EYEMED | MN1889 | 01 |
Other Name | Type Code |
---|---|
Pearle Vision | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588708630 | Imi's Mn Inc | Technician/Technologist | 1980 Robert St S, West Saint Paul, MN 55118-3923 | 2007-02-19 |
Street Address |
406 ROSEDALE SHOPPING CTR |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-3009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265500730 | Thomas Joseph Meyer | Optometrist | 406 Rosedale Shopping Ctr, Pearle Vision, Roseville, MN 55113-3009 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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1558545582 | Gorman Optical Inc | Technician/Technologist | 2797 Hamline Ave No, Hamline Center Suite 2, Roseville, MN 55113-1715 | 2007-12-27 |
1538355102 | America's Best Contacts & Eyeglasses | Technician/Technologist | 29138 Gratiot Ave, Roseville, MI 48066-4152 | 2007-09-18 |
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1659407377 | Juettner Optical Inc | Technician/Technologist | 1145 Larpenteur Ave W, Roseville, MN 55113-6335 | 2007-02-26 |
1710061932 | Walmart Stores, Inc. | Technician/Technologist | 1400 Lead Hill Blvd, Roseville, CA 95661-2949 | 2006-10-24 |
1508973025 | Us Vision Optical Inc | Technician/Technologist | Hwy 36 & Fairview Ave, Roseville, MN 55113 | 2006-08-23 |
1215337241 | Wal-mart Stores, Inc | Technician/Technologist | 1400 Lead Hill Blvd, Roseville, CA 95661-2949 | 2014-08-27 |
Find all providers in ROSEVILLE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.