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
- City
- Two Harbors
- State
- Minnesota
- 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 - Optician — Optician |
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