What is Craig Dejong's NPI number?

Craig Dejong's National Provider Identifier (NPI) is 1063486124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Craig Dejong's specialty?

Craig Dejong is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Craig Dejong located?

Craig Dejong's practice location on file with NPPES is 24 1st St Se, Glenwood, MN 56334-1619.

What is Craig Dejong's phone number?

The practice phone number listed in the NPPES registry for Craig Dejong is (320) 634-4516.

Is Craig Dejong's NPI active?

Yes — Craig Dejong's NPI (1063486124) is active in the NPPES registry as of the last update on 2007-09-06.

IndividualActive

Craig Dejong, O.D.

NPI 1063486124 · Optometrist · Glenwood, MN

Craig Dejong, O.D. is a Optometrist provider in Glenwood, MN (NPI 1063486124).

Provider details

NPI number: 1063486124
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 2027 (MN)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 2027 (MN)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

24 1st St Se

Glacial Ridge Eye Clinic, Inc

Glenwood, MN 56334-1619

Phone: (320) 634-4516

Fax: (320) 634-4520

Street-level locationGet directions

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Mailing address