BLUSTIN OPTICAL CENTER
NPI 1811975931
Optometrist in Duluth, MN
About Blustin Optical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUSTIN OPTICAL CENTER (NPI 1811975931) is a healthcare organization registered as an optometrist in Duluth, Minnesota and active in the NPI registry since January 2006. The organization lists Derin John Van Loon, Owner Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blustin Optical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Blustin Optical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Derin J Van Loon Od PA's NPI number?
The NPI number for Derin J Van Loon Od PA is 1811975931. It was assigned to this organization in the NPPES registry on January 9, 2006. The provider is doing business as Blustin Optical Center.
Where is Derin J Van Loon Od PA located?
Derin J Van Loon Od PA is located at 213 W 1st St, Duluth, MN 55802. The listed phone number is (218) 727-1004.
What is Derin J Van Loon Od PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Derin J Van Loon Od PA enrolled in Medicare?
Yes. Derin J Van Loon Od PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Derin J Van Loon Od PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Derin J Van Loon Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Derin J Van Loon Od PA was last updated on July 7, 2008. 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.
# Blustin Optical Center · NPI 1811975931
Optometrist organization in Duluth, Minnesota. Organization record, active in the CMS NPPES registry since January 9, 2006.
## Identity
- **NPI:** 1811975931 (Entity type: Organization)
- **Enumerated:** January 9, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Derin J Van Loon Od Pa
- **Organization subpart:** No
- **Authorized official:** Derin Van Loon, OWNER OPTOMETRIST
## Practice location
- **Address:** 213 W 1ST ST, Duluth, MN 55802-1985
- **Phone:** (218) 727-1004 · **Fax:** (218) 727-1525
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2008
- **Other identifiers:** Other DD9233 (MN); Medicare PIN C04053 (MN); Medicaid 413668300 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1811975931) · Data from the CMS NPPES public registry.