Vandesteeg & Larson Optometric Clinic, PA
NPI 1174929160 · Eyewear Supplier · Glenwood, MN
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vandesteeg & Larson Optometric Clinic, PA is a Eyewear Supplier organization in Glenwood, MN (NPI 1174929160).
Provider details
- NPI number
- 1174929160
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jonathan Larson, Owner(320) 634-4516
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Other names (DBA / former)
- Doing business as
- Glacial Ridge Eye Clinic
- Doing business as
- Glacial Ridge Eye Clinic
Registry dates
- Enumerated
- 2014-11-18
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Frequently asked questions
- What is Vandesteeg & Larson Optometric Clinic, PA's NPI number?
- Vandesteeg & Larson Optometric Clinic, PA's National Provider Identifier (NPI) is 1174929160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vandesteeg & Larson Optometric Clinic, PA?
- Vandesteeg & Larson Optometric Clinic, PA is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Vandesteeg & Larson Optometric Clinic, PA located?
- Vandesteeg & Larson Optometric Clinic, PA's practice location on file with NPPES is 24 1st St Se, Glenwood, MN 56334-1619.
- What is Vandesteeg & Larson Optometric Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Vandesteeg & Larson Optometric Clinic, PA is (320) 634-4516.
- Does Vandesteeg & Larson Optometric Clinic, PA accept Medicare?
- Vandesteeg & Larson Optometric Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vandesteeg & Larson Optometric Clinic, PA?
- The authorized official listed on Vandesteeg & Larson Optometric Clinic, PA's NPPES record is Jonathan Larson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vandesteeg & Larson Optometric Clinic, PA's NPI active?
- Yes — Vandesteeg & Larson Optometric Clinic, PA's NPI (1174929160) is active in the NPPES registry as of the last update on 2025-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.