Derin J Van Loon OD PA
NPI 1811975931 · Optometrist · Duluth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derin J Van Loon OD PA is a Optometrist organization in Duluth, MN (NPI 1811975931).
Provider details
- NPI number
- 1811975931
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Derin Van Loon, Owner Optometrist(218) 727-1004
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Blustin Optical Center
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2008-07-07
Frequently asked questions
- What is Derin J Van Loon OD PA's NPI number?
- Derin J Van Loon OD PA's National Provider Identifier (NPI) is 1811975931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derin J Van Loon OD PA?
- Derin J Van Loon OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Derin J Van Loon OD PA located?
- Derin J Van Loon OD PA's practice location on file with NPPES is 213 W 1st St, Duluth, MN 55802-1985.
- What is Derin J Van Loon OD PA's phone number?
- The practice phone number listed in the NPPES registry for Derin J Van Loon OD PA is (218) 727-1004.
- Does Derin J Van Loon OD PA accept Medicare?
- Derin J Van Loon OD 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 Derin J Van Loon OD PA?
- The authorized official listed on Derin J Van Loon OD PA's NPPES record is Derin Van Loon, Owner Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derin J Van Loon OD PA's NPI active?
- Yes — Derin J Van Loon OD PA's NPI (1811975931) is active in the NPPES registry as of the last update on 2008-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.