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Contact Information

GRACE VISION, INC DBA PEARLE VISION
3001 WHITE BEAR AVE N
SUITE 1050
SAINT PAUL, MN55109-1215
 Phone: 651-770-3923
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for GRACE VISION, INC DBA PEARLE VISION

NPI # 1043627466
LBN Legal business name GRACE VISION, INC DBA PEARLE VISION
Authorized official JEANNY LIU-WU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2014
Last updated 12/20/2025 - About 6 months ago
Identifiers
MN Medicaid 1386077592
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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