Organization
VANDESTEEG & LARSON OPTOMETRIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MARK LARSON OD (PRESIDENT)
(320) 352-2774
Entity
Organization
Contact information
Practice address
314 MAIN ST S, SAUK CENTRE, MN 56378-1349
(320) 352-2774
Mailing address
314 MAIN ST S, SAUK CENTRE, MN 56378-1349
(320) 352-2774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156323802
—
MN
Enumeration date
09/13/2006
Last updated
09/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us