MINNESOTA OPTICAL LLC (NPI# 1962829580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962829580 |
| Entity Type | Organization |
| Organization Name | MINNESOTA OPTICAL LLC |
| Other Organization Name | PEARLE VISION |
| Practice Address |
3333 Hazelton Rd Edina MN 55435-4204 |
| Mailing Address |
19576 Holt St Nw Elk River MN 55330-1287 |
| Practice Telephone | 9529266149 |
| Mailing Telephone | 7632412083 |
| Mailing Fax Number | 7632413801 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | GARY C TONSAGER (CHIEF MANAGER) |
| Authorized Official Telephone | 7632412083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831303437 | Minnesota Optical LLC | Optometrist | 19576 Holt St Nw, Elk River, MN 55330 | 2007-05-10 |
| Street Address |
3333 HAZELTON RD |
| City | EDINA |
| State | MN |
| Zip Code | 55435-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357071 | Visual Edge, Inc | Technician/Technologist | 3333 Hazelton Rd, Edina, MN 55435-4204 | 2005-06-28 |
| 1396302345 | Michael Hanson | Optometrist | 3333 Hazelton Rd, Edina, MN 55435-4204 | 2019-05-24 |
| 1407205610 | Sarah Rose Board | Optometrist | 3333 Hazelton Rd, Edina, MN 55435-4204 | 2016-06-08 |
| 1750613188 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 3333 Hazelton Rd, Yorktown Mall, Edina, MN 55435-4204 | 2010-02-10 |
| 1730379280 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3333 Hazelton Rd, Yorktown Mall, Edina, MN 55435-4204 | 2007-07-31 |
| 1558367136 | Marilou V Stephan | Optometrist | 3333 Hazelton Rd, Edina, MN 55435-4204 | 2005-06-28 |
| 1154327757 | Paul J Shlafer | Optometrist | 3333 Hazelton Rd, Edina, MN 55435-4204 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1396265716 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 100 Southdale Ctr, Edina, MN 55435-2403 | 2017-06-27 |
| 1801163191 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1045 Southdale Ctr, Edina, MN 55435-7050 | 2011-11-30 |
| 1700024437 | Jay Mar Opticians, Inc | Eyewear Supplier (Equipment, not the service) | 6545 France Ave So, Suite 605, Edina, MN 55435-2117 | 2009-02-03 |
| 1902092158 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 7000 York Ave, Edina, MN 55435-4213 | 2007-09-21 |
| 1558415786 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2195 Southdale S/c, Edina, MN 55435-7065 | 2007-01-23 |
| 1770668675 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 1030 Southdale Center, Edina, MN 55435 | 2006-10-26 |
| 1871576306 | Southdale Optical Co | Eyewear Supplier (Equipment, not the service) | 6533 Drew Ave S, Edina, MN 55435-2103 | 2005-11-29 |
| 1114921996 | Ophthalmology Pa | Eyewear Supplier (Equipment, not the service) | 3100 W 70th St, Edina, MN 55435-4227 | 2005-06-09 |
| 1750613188 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 3333 Hazelton Rd, Yorktown Mall, Edina, MN 55435-4204 | 2010-02-10 |
| Find all providers in EDINA | ||||
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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.