Vandesteeg & Larson Optometric Clinic, Pa
Eyewear Supplier (equipment, Not The Service)
24 1st St Se, Glenwood
Minnesota, 56334-1619
320-634-4516 320-634-4520
Vandesteeg & Larson Optometric Clinic, Pa is a Eyewear Supplier (equipment, Not The Service) in Glenwood, Minnesota. It is located at 24 1st St Se, Glenwood and it's customer support contact number is 320-634-4516. The authorized person of Vandesteeg & Larson Optometric Clinic, Pa is Dr. Jonathan D Larson, OD who is Owner of this DME and his contact number is 320-634-4516. Vandesteeg & Larson Optometric Clinic, Pa accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Vandesteeg & Larson Optometric Clinic, Pa is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
DME Supplier Details:
Vandesteeg & Larson Optometric Clinic, Pa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Vandesteeg & Larson Optometric Clinic, Pa |
| Type: | Eyewear Supplier (equipment, Not The Service) |
| Location: | 24 1st St Se, Glenwood,
Minnesota, 56334-1619 |
| Phone: | 320-634-4516 |
| Fax: | 320-634-4520 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jonathan D Larson |
| Credentials: | OD |
| Position: | Owner |
| Contact Number: | 320-634-4516 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1174929160 |
| NPI Enumeration Date: | 18 Nov, 2014 |
| NPI Last Update On: | 16 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vandesteeg & Larson Optometric Clinic, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10000202944 | Medicaid | Minnesota | |
| 496063700 | Medicaid | Minnesota | |
Medicare Enrollment:
Vandesteeg & Larson Optometric Clinic, Pa is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6800822859 | O20151102001190 | Vandesteeg & Larson Optometric Clinic Pa | DME SUPPLIER - PHYSICIAN - OPTOMETRIST |
Products Available:
Vandesteeg & Larson Optometric Clinic, Pa has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Prosthetic Cataract Lenses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 24 1st Street Se,
Glenwood, Minnesota |
| Zip: | 56334 |
| Phone Number: | 320-634-4516 |
| Fax Number: | 320-634-4520 |
Patients can reach Vandesteeg & Larson Optometric Clinic, Pa at
24 1st St Se, Glenwood, Minnesota or can
call on customer care at 320-634-4516.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.