GRACE VISION, INC DBA PEARLE VISION (NPI# 1043627466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043627466 |
| Entity Type | Organization |
| Organization Name | GRACE VISION, INC DBA PEARLE VISION |
| Practice Address |
3001 White Bear Ave N Suite 1050 Saint Paul MN 55109-1215 |
| Practice Telephone | 6517703923 |
| Mailing Telephone | 6517703923 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | MEGAN KOPPE (INSURANCE MANAGER) |
| Authorized Official Telephone | 6517703923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1073609715 | 05 |
| Street Address |
3001 WHITE BEAR AVE N SUITE 1050 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55109-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386077592 | Grace Vision, Inc. | Optometrist | 3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 | 2013-08-12 |
| 1477624252 | Double Image, Inc | Durable Medical Equipment & Medical Supplies | 3001 White Bear Ave N, Suite 1050, Saint Paul, MN 55109-1215 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851712384 | Marshall Allan Daly | Technician/Technologist | 2484 University Ave W, Saint Paul, MN 55114-1735 | 2013-12-31 |
| 1285937862 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1360 University Ave W Ste 106, Saint Paul, MN 55104-4092 | 2010-12-21 |
| 1831361302 | Teri Rachel Focht | Technician/Technologist | 944 Euclid St, Saint Paul, MN 55106-5615 | 2008-03-25 |
| 1003935867 | Grand Spectacle Inc | Technician/Technologist | 764 Grand Ave, Saint Paul, MN 55105-3306 | 2007-03-29 |
| 1619472545 | Wade Nooleen | Technician/Technologist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2018-03-23 |
| 1992937338 | Roseville Opticians | Technician/Technologist | 1790 Lexington Ave N, Saint Paul, MN 55113-6167 | 2009-08-19 |
| 1386883254 | James Edward Johnson | Technician/Technologist | 101 5th St E Ste 281, Saint Paul, MN 55101-1862 | 2009-02-16 |
| 1821171430 | Wal-mart Stores, Inc. | Technician/Technologist | 1644 Robert St S, Saint Paul, MN 55118-3918 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821558370 | National Vision Inc | Technician/Technologist | 8348 Highway 7, Saint Louis Park, MN 55426-3907 | 2019-03-21 |
| 1861937112 | Personality Eyewear | Technician/Technologist | 8257 Logan Ave N, Brooklyn Park, MN 55444-1545 | 2016-12-22 |
| 1871961185 | Wal-mart Stores, Inc | Technician/Technologist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2015-09-03 |
| 1215316682 | National Vision, Inc. | Technician/Technologist | 12940 Riverdale Dr Nw, Ste 300, Coon Rapids, MN 55448-8412 | 2015-05-19 |
| 1619354156 | National Vision, Inc. | Technician/Technologist | 1727 Beam Ave, Ste D, Maplewood, MN 55109-1164 | 2015-05-05 |
| 1124437223 | America's Best Contacts & Eyeglasses | Technician/Technologist | 6096 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2316 | 2014-08-04 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1174966683 | David Yang | Technician/Technologist | 987 Oday St S, Maplewood, MN 55119-5953 | 2013-04-15 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| 1639425952 | Optical Services Direct LLC | Technician/Technologist | 10524 Kimbro Ave S, Cottage Grove, MN 55016-4150 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55109 |
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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.