Individual provider Active NPI

John C. Olson, M.D.

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1174551709
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME38233 Issued in FL
Practice address
3824 Oakwater Cir
Orlando, FL 32806-6263
Phone
(407) 425-7188
Fax
(407) 423-9040
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME38233 FL Primary

Addresses

Primary practice location

3824 Oakwater Cir
Orlando, FL 32806-6263

Mailing address

3824 Oakwater Cir
Orlando, FL 32806-6263
Phone (407) 425-7188

Other identifiers 2

IdentifierTypeStateIssuer
180027280OtherFLRR MEDICARE
066746300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.olson@direct.cfretina.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000313 FL Practitioner - Ophthalmology 9638248065

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.65 of 100Reported as group
Quality
99.36
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners of Florida PA Ophthalmology CurrentSince Jun 1, 1997 Accepting new patients

Locations

415 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 427-4143

44 Lake Beauty Dr
Ste 200
Orlando, FL 32806

3824 Oakwater Cir
Orlando, FL 32806
Phone (407) 425-7188

44 Lake Beauty Dr
Ste 300
Orlando, FL 32806
Phone (407) 425-7188

Interoperability endpoints

  • Direct secure messaging: john.olson@direct.cfretina.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1174551709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-425-7188",
            "fax_number": "407-423-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 OAKWATER CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066263",
            "telephone_number": "407-425-7188",
            "fax_number": "407-423-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME38233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180027280",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066746300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.olson@direct.cfretina.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3824 Oakwater Cir",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328066263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.