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MR. CRAIG D DEJONG O.D.
NPI 1063486124
Optometrist in Glenwood, MN

Active since February 15, 2006
24 1ST ST SE, GLACIAL RIDGE EYE CLINIC, INC, GLENWOOD, MN 56334(320) 634-4516(320) 634-4520 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Craig D Dejong O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CRAIG D DEJONG O.D. (NPI 1063486124) is an individual optometrist in Glenwood, Minnesota, licensed in Minnesota (2027) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1063486124
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. CRAIG D DEJONGCredential: O.D.
Location Address24 1ST ST SE, GLACIAL RIDGE EYE CLINIC, INCGlenwood, MN 56334-1619
Mailing Address24 1st St Se, Glacial Ridge Eye Clinic, IncGlenwood, MN 56334-1619 · (320) 634-4516 · Fax (320) 634-4520
Phone(320) 634-4516
Fax(320) 634-4520
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1063486124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2027
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
24 1ST ST SE, Glenwood, MN 56334
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Other Identifiers 1

Medicare UPINT65451MN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA
Eyewear Supplier
24 1ST ST SE
GLENWOOD, MN 56334
Pope County (320) 634-4516
GLACIAL RIDGE EYE CLINIC, INC.
Optometrist
24 1ST ST SE
GLENWOOD, MN 56334
Pope County (320) 634-4516
VANDESTEEG & LARSON OPTOMETRIC CLINIC PA
Optometrist
24 1ST ST SE
GLENWOOD, MN 56334
Pope County (320) 634-4516

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Dejong's NPI number?

The NPI number for Craig Dejong is 1063486124. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Craig Dejong located?

Craig Dejong practices at 24 1st St SE Glacial Ridge Eye Clinic, Inc, Glenwood, MN 56334. The listed phone number is (320) 634-4516.

What is Craig Dejong's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Craig Dejong was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.