OrganizationActive
Glacial Ridge Eye Clinic, Inc.
NPI 1245356914 · Optometrist · Glenwood, MN
Glacial Ridge Eye Clinic, Inc. is a Optometrist organization in Glenwood, MN (NPI 1245356914).
Provider details
- NPI number
- 1245356914
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Craig Dejong, Optometrist(320) 634-4516
- License
- 2027 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Glenwood, MN 56334-1619
Phone: (320) 634-4516
Street-level locationGet directions
Mailing address
24 1st St Se
Glenwood, MN 56334-1619
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2007-09-06
Frequently asked questions
- What is Glacial Ridge Eye Clinic, Inc.'s NPI number?
- Glacial Ridge Eye Clinic, Inc.'s National Provider Identifier (NPI) is 1245356914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glacial Ridge Eye Clinic, Inc.?
- Glacial Ridge Eye Clinic, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Glacial Ridge Eye Clinic, Inc. located?
- Glacial Ridge Eye Clinic, Inc.'s practice location on file with NPPES is 24 1st St Se, Glenwood, MN 56334-1619.
- What is Glacial Ridge Eye Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Glacial Ridge Eye Clinic, Inc. is (320) 634-4516.
- Who is the authorized official for Glacial Ridge Eye Clinic, Inc.?
- The authorized official listed on Glacial Ridge Eye Clinic, Inc.'s NPPES record is Craig Dejong, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glacial Ridge Eye Clinic, Inc.'s NPI active?
- Yes — Glacial Ridge Eye Clinic, Inc.'s NPI (1245356914) is active in the NPPES registry as of the last update on 2007-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.