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VANDESTEEG & LARSON OPTOMETRIC CLINIC PA
NPI 1922401694
Optometrist in Glenwood, MN

Active since October 08, 2014
24 1ST ST SE, GLENWOOD, MN 56334(320) 634-4516(320) 634-4520 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vandesteeg & Larson Optometric Clinic Pa NPPES

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

VANDESTEEG & LARSON OPTOMETRIC CLINIC PA (NPI 1922401694), doing business as Glacial Ridge Eye Clinic, is a healthcare organization registered as an optometrist in Glenwood, Minnesota and active in the NPI registry since October 2014. The organization lists Jonathan M Larson, Owner, as its authorized official.

NPPES Registry Identity

NPI1922401694
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVANDESTEEG & LARSON OPTOMETRIC CLINIC PA
Location Address24 1ST ST SEGlenwood, MN 56334-1619
Mailing Address24 1st St SeGlenwood, MN 56334-1619 · (320) 634-4516 · Fax (320) 634-4520
Phone(320) 634-4516
Fax(320) 634-4520
Organization SubpartNo
Authorized OfficialJonathan M LarsonOwner · (320) 634-4516
Enumeration DateOctober 8, 2014
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1922401694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 1709
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.
Also ListedEyewear SupplierTaxonomy 332H00000X
24 1ST ST SE, Glenwood, MN 56334
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Other Names 1

Doing Business AsGlacial Ridge Eye Clinic

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Glacial Ridge Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Glacial Ridge Eye Clinic

DMEPOS supplier · Glenwood, MNOperated by Vandesteeg & Larson Optometric Clinic PA
✔

Accepts Medicare assignment

Glacial Ridge Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20677097
Medicare Participant SinceMay 1, 1986
Supplier Location24 1st St SEGlenwood, MN 56334
Phone(320) 634-4516
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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
GLACIAL RIDGE EYE CLINIC, INC.
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 Vandesteeg & Larson Optometric Clinic PA's NPI number?

The NPI number for Vandesteeg & Larson Optometric Clinic PA is 1922401694. It was assigned to this organization in the NPPES registry on October 8, 2014. The provider is doing business as Glacial Ridge Eye Clinic.

Where is Vandesteeg & Larson Optometric Clinic PA located?

Vandesteeg & Larson Optometric Clinic PA is located at 24 1st St SE, Glenwood, MN 56334. The listed phone number is (320) 634-4516.

What is Vandesteeg & Larson Optometric Clinic PA's specialty?

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

Does Vandesteeg & Larson Optometric Clinic PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Glacial Ridge Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Vandesteeg & Larson Optometric Clinic PA was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.