Vandesteeg & Larson Optometric Clinic Pa

LBN: Vandesteeg & Larson Optometric Clinic Pa
Vandesteeg & Larson Optometric Clinic Pa is an health care organization with primary practice located at 314 Main St S , Sauk Centre MN 56378-1349. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Vandesteeg & Larson Optometric Clinic Pa can be contacted via phone (320) 352-2774, or through Larson, Stephen Mark via phone (320) 352-2774.

Contact Information

Primary practice address
314 Main St S Sauk Centre MN 56378-1349
Phone: (320) 352-2774
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Larson, Stephen Mark Doctor of Optometry (OD)
Phone: (320) 352-2774

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1709 Minnesota

Profile Details

NPI number 1851496053
LBN Legal business name Vandesteeg & Larson Optometric Clinic Pa
DBA Doing business as
Authorized official Larson, Stephen Mark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 18th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851496053 NPPES
Minnesota MEDICAID 156323802

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