PEARLE VISION COON RAPIDS
NPI 1922347848
Technician/Technologist - Optician in Maple Grove, MN

Active since February 13, 2013
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369(612) 599-0153 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pearle Vision Coon Rapids NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARLE VISION COON RAPIDS (NPI 1922347848) is a healthcare organization registered as an optician in Maple Grove, Minnesota and active in the NPI registry since February 2013. The organization lists James Hawley, President, as its authorized official.

NPPES Registry Identity

NPI1922347848
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameJAYDEN2006
Location Address13195 WEAVER LAKE RDMaple Grove, MN 55369-9410
Mailing Address12256 Lakeview Drive NMaple Grove, MN 55369 · (612) 599-0153
Organization SubpartNo
Authorized OfficialJames HawleyPresident · (612) 599-0153
Enumeration DateFebruary 13, 2013
NPI 1922347848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
13195 WEAVER LAKE RD, Maple Grove, MN 55369

Other Names 1

Doing Business AsPearle Vision Coon Rapids

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Pearle Vision carries, from the Medicare DMEPOS supplier directory.

Pearle Vision

DMEPOS supplier · Maple Grove, MNOperated by Brokea Inc.

Does not accept Medicare assignment

Pearle Vision has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20522567
Medicare Participant SinceMarch 2, 2012
Supplier Location13195 Weaver Lake RdMaple Grove, MN 55369
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist (Corneal and Contact Management)
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayden2006's NPI number?

The NPI number for Jayden2006 is 1922347848. It was assigned to this organization in the NPPES registry on February 13, 2013. The provider is doing business as Pearle Vision Coon Rapids.

Where is Jayden2006 located?

Jayden2006 is located at 13195 Weaver Lake Rd, Maple Grove, MN 55369. The listed phone number is (612) 599-0153.

What is Jayden2006's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Does Jayden2006 accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Pearle Vision does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Jayden2006 was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.