institution
Blustin Optical Center Dba Derin J Van Loon, O.d.
Optician in Two Harbors, Minnesota
NPI 1629137419

Blustin Optical Center Dba Derin J Van Loon, O.d. is a Optician based in Two Harbors, MN and is specialized in Optician. Blustin Optical Center Dba Derin J Van Loon, O.d. practices in Two Harbors, MN. The NPI Number for Blustin Optical Center Dba Derin J Van Loon, O.d. is 1629137419 and holds a License No. (Minnesota).

The current practice location address for Blustin Optical Center Dba Derin J Van Loon, O.d. is 802 11Th St, Two Harbors, MN and can be reached out via phone at 218-834-8070.

Location: 802 11Th St, Two Harbors, MN, 55616-1413
institution
Provider Profile Details
NPI Number
1629137419
Provider Name
Blustin Optical Center Dba Derin J Van Loon, O.d.
Credential
Provider Entity Type
Organization
Address
802 11Th St, Two Harbors, MN, 55616-1413
Phone Number
218-834-8070
Fax Number
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122437 01 MN U CARE
74123BL 01 MN BCBS OF MN
5506010002 01 MN DMERC
2122765 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
802 11Th St
City
State
Zip
55616-1413
Phone Number
218-834-8070
Fax Number
person
Provider Business Mailing Address Details
Address
802 11Th St
City
State
Zip
55616-1413
Phone Number
218-834-8070
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(Minnesota)
Definition
Definition to come...
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