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
6800822859The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Vandesteeg and Larson Optometric Clinic PAName in Care Compare
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page