Blustin Optical Center Dba Derin J Van Loon, O.D.
LBN: Blustin Optical Center Dba Derin J Van Loon, O.D.
Blustin Optical Center Dba Derin J Van Loon, O.D. is an health care organization with primary practice located at 802 11Th St Ste A, Two Harbors MN 55616-1413. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty.
Blustin Optical Center Dba Derin J Van Loon, O.D. can be contacted via phone (218) 834-8070, or through Anderson, Anne C via phone (218) 834-8070.
Contact Information
Primary practice address
802 11Th St Ste A
Two Harbors MN 55616-1413
Phone: (218) 834-8070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | Minnesota |
Profile Details
| NPI number | 1629137419 |
|---|---|
| LBN Legal business name | Blustin Optical Center Dba Derin J Van Loon, O.D. |
| DBA Doing business as | |
| Authorized official | Anderson, Anne C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629137419 | NPPES |
| Minnesota | Other | 122437 | U CARE |
| Minnesota | Other | 74123BL | U CARE |
| Minnesota | Other | 5506010002 | U CARE |
| Minnesota | Other | 2122765 | U CARE |
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