Blustin Optical Center DBA Derin J Van Loon, O.d.

NPI #1629137419 in Two Harbors, Minnesota

Provider Information

NPI Number
1629137419
Entity Type
Organization
Organization Name
Blustin Optical Center DBA Derin J Van Loon, O.d.
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Dec 7, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
802 11TH ST
Address 2
STE A
ZIP Code
55616-1413
Phone
(218) 834-8070

Authorized Official

Name
MRS. ANNE C ANDERSON
Title
MANAGER
Phone
(218) 834-8070

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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