Active NPI
John C. Olson, M.D.
- Ophthalmology Physician
- Orlando, FL
National Provider Identifier
1174551709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME38233
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180027280 | Other | FL | RR MEDICARE |
| 066746300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110224000313 | FL | Practitioner - Ophthalmology | 9638248065 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.65 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Partners of Florida PA | Ophthalmology | Current | 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
- john.olson@direct.cfretina.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1740387968
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.