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GLACIAL RIDGE EYE CLINIC, INC.
NPI 1245356914
Optometrist in Glenwood, MN

Active since March 22, 2007
24 1ST ST SE, GLENWOOD, MN 56334(320) 634-4516 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glacial Ridge Eye Clinic, Inc. NPPES

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

GLACIAL RIDGE EYE CLINIC, INC. (NPI 1245356914) is a healthcare organization registered as an optometrist in Glenwood, Minnesota and active in the NPI registry since March 2007. The organization lists Craig D Dejong, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1245356914
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGLACIAL RIDGE EYE CLINIC, INC.
Location Address24 1ST ST SEGlenwood, MN 56334-1619
Mailing Address24 1st St SeGlenwood, MN 56334-1619 · (320) 634-4516
Phone(320) 634-4516
Organization SubpartNo
Authorized OfficialCraig D DejongOptometrist · (320) 634-4516
Enumeration DateMarch 22, 2007
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1245356914 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 3

Medicare PINC03634MN
Medicare UPINU10095MN
Medicare UPINT65451MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. CRAIG D DEJONG O.D.
Optometrist
24 1ST ST SE, GLACIAL RIDGE EYE CLINIC, INC
GLENWOOD, MN 56334
Pope County (320) 634-4516
VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA
Eyewear Supplier
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 Glacial Ridge Eye Clinic, Inc.'s NPI number?

The NPI number for Glacial Ridge Eye Clinic, Inc. is 1245356914. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Glacial Ridge Eye Clinic, Inc. located?

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

What is Glacial Ridge Eye Clinic, Inc.'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 Glacial Ridge Eye Clinic, Inc. 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.