All Medicaid billing entities listing LARSON, JONATHAN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Minnesota | 1 | $83K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA | GLENWOOD, MN | Durable Medical Equipment & Medical Supplies | $83K |