Vandesteeg & Larson Optometric Clinic PA
A Medicare group practice based in Long Prairie, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6800822859), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6800822859
- Also listed as
- Vandesteeg and Larson Optometric Clinic PA
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MN
- Enrollments
- 3
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050712000500 | MN | Part B Supplier - Clinic/Group Practice | 1851496053 |
| O20100930001171 | MN | DME Supplier - Physician - Optometrist | 1669944104 |
| O20151102001190 | MN | DME Supplier - Physician - Optometrist | 1174929160 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Vandesteeg & Larson Optometric Clinic PA
- Optometrist
- Sauk Centre, MN
- NPI 1851496053
-
Vandesteeg & Larson Optometric Clinic, PA
dba Glacial Ridge Eye Clinic
- Eyewear Supplier
- Glenwood, MN
- NPI 1174929160
-
Vandesteeg & Larson Optometric Clinic, PA
- Optometrist
- Long Prairie, MN
- NPI 1669944104
Practice locations
- Glenwood, MN2
- Long Prairie, MN2
- Sauk Centre, MN1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Jonathan Larson, OD
- Optometrist
- Willmar, MN
- NPI 1912061458
-
Todd Donovan Olson, O.D.
- Optometrist
- Alexandria, MN
- NPI 1083775084
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.