Active NPI
Irene Olijnyk, M.D.
- Ophthalmology Physician
- Longmont, CO
National Provider Identifier
1144307901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 23637
- Practice address
- 1400 Dry Creek Dr
Longmont, CO 80503-6499 - Phone
- (303) 772-3300
- Fax
- (303) 682-3380
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 23637 | CO | Primary |
Addresses
Primary practice location
1400 Dry Creek Dr
Longmont, CO 80503-6499
Mailing address
1400 Dry Creek Dr
Longmont, CO 80503-6499
Phone (303) 772-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01236371 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23637 | CO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1144307901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036499",
"telephone_number": "303-772-3300",
"fax_number": "303-682-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 DRY CREEK DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805036499",
"telephone_number": "303-772-3300",
"fax_number": "303-682-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIJNYK",
"first_name": "IRENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "23637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01236371",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.