Active NPI
Randall R. Olsen, AU.D
- Assistive Technology Practitioner Audiologist
- Parma, OH
National Provider Identifier
1144203530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- A00215
- Practice address
- 5267 Pearl Rd
Parma, OH 44129-1550 - Phone
- (216) 485-5767
- Fax
- (216) 485-5768
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | A00215 | OH | Primary |
Addresses
Primary practice location
5267 Pearl Rd
Parma, OH 44129-1550
Mailing address
5267 Pearl Rd
Parma, OH 44129-1550
Phone (216) 485-5767
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0420066 | Medicaid | OH | |
| 0583271 | Other | OH | MEDICARE # |
| 000000133435 | Other | OH | AUDIOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00215 | OH | MD | Assistive Technology Practitioner Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olsen Hearing Services Inc. | Current | Accepting new patients |
Locations
687 Broadway Ave
Bedford, OH 44146
Phone (216) 485-5767
5267 Pearl Rd
Parma, OH 44129
Phone (216) 485-5767
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Parma, OH
- NPI 1497898654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1144203530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5267 PEARL RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441291550",
"telephone_number": "216-485-5767",
"fax_number": "216-485-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5267 PEARL RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441291550",
"telephone_number": "216-485-5767",
"fax_number": "216-485-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "RANDALL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "OH",
"license": "A00215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0420066",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "0583271",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY",
"identifier": "000000133435",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.