| Vandesteeg & Larson Optometric Clinic Pa | |
|
314 Main St S, Sauk Centre, MN 56378-1349 | |
| (320) 352-2774 | |
| Not Available |
| Full Name | Vandesteeg & Larson Optometric Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 314 Main St S, Sauk Centre, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851496053 | NPI | - | NPPES |
| 156323802 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1709 (Minnesota) | Primary |
| Provider Name | Todd D Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083775084 PECOS PAC ID: 1254328164 Enrollment ID: I20040430000315 |
| Provider Name | Craig D Dejong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063486124 PECOS PAC ID: 3173594355 Enrollment ID: I20040803000276 |
| Provider Name | Jonathan D Larson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912061458 PECOS PAC ID: 3375584352 Enrollment ID: I20050519000813 |
| Mailing Address | Practice Location Address |
|---|---|
| Vandesteeg & Larson Optometric Clinic Pa 314 Main St S, Sauk Centre, MN 56378-1349 Ph: (320) 352-2774 | Vandesteeg & Larson Optometric Clinic Pa 314 Main St S, Sauk Centre, MN 56378-1349 Ph: (320) 352-2774 |
Dr. Brett Allen Freese, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 324 Main St S, Sauk Centre, MN 56378 Phone: 320-352-3026 Fax: 320-352-1164 | |
Anna Schmoll, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 205 12th St S, Sauk Centre, MN 56378 Phone: 320-352-0146 | |
Sauk Centre Eye Clinic P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 324 Main St S Ste 101, Sauk Centre, MN 56378 Phone: 320-352-3026 Fax: 320-352-1164 | |
Lawrence I. Hittle, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 12th St S, Sauk Centre, MN 56378 Phone: 320-352-0146 Fax: 320-352-0023 | |
Dr. Lawrence Iden Hittle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 12th St S, Sauk Centre, MN 56378 Phone: 320-352-0146 Fax: 320-352-0023 |