Olson Eye Care PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002496 Issued in IA

Legal business name

OLSON EYE CARE PLC

Practice address

320 McKenzie Ave
Ste 206
Council Bluffs, IA 51503-1002

Phone

(712) 256-1111

Fax

(712) 256-1549

NPI assigned

Oct 9, 2012

Last updated

Aug 2, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Robert Olson, ODNPI 1144533761

Title

Owner/Provider

Phone

(712) 256-1111

Specialties & licenses 1

Addresses

Other names 1

• VISION SPECIALISTS OF COUNCIL BLUFFS PLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Robert Olson, OD

  • Optometrist
  • Council Bluffs, IA
  • NPI 1144533761
  Medicare reassignment NPD Authorized official
• Kyle M Cheatham, O. D.

  • Optometrist
  • Council Bluffs, IA
  • NPI 1568568384
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1164774568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE",
            "address_2": "STE 206",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-256-1111",
            "fax_number": "712-256-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MCKENZIE AVE",
            "address_2": "STE 206",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515031002",
            "telephone_number": "712-256-1111",
            "fax_number": "712-256-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON EYE CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "712-256-1111",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION SPECIALISTS OF COUNCIL BLUFFS PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amy Oberdin
• Jason T Ohr, M.D.
• Enehomere I. Okoruwa, M.D.
• Danelle K Oliver, LMSW
• Justine Marie Olsen, OTD
• Christopher Robert Olson, OD
• Lyndsey Oltmans
• Brett Omar
• Omni Council Bluffs Dental PLLC
• Omni Dental Centres, LLP

• Optometrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.