Active NPI
Steve Blake Olson Jr., ABO-AC, NCLE-AC
- Optician
- Reno, NV
National Provider Identifier
1225721483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 699
- Practice address
- 155 Damonte Ranch Pkwy
Reno, NV 89521-2990 - Phone
- (775) 853-6416
- NPI assigned
- Jun 1, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 699 | NV | Primary |
Addresses
Primary practice location
155 Damonte Ranch Pkwy
Reno, NV 89521-2990
Mailing address
1280 Manhattan St
Reno, NV 89512-3030
Phone (775) 772-4012
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 699 | NV | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1225721483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 MANHATTAN ST",
"city": "RENO",
"state": "NV",
"postal_code": "895123030",
"telephone_number": "775-772-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 DAMONTE RANCH PKWY",
"city": "RENO",
"state": "NV",
"postal_code": "895212990",
"telephone_number": "775-853-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "STEVE",
"middle_name": "BLAKE",
"name_suffix": "Jr.",
"credential": "ABO-AC, NCLE-AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NV",
"license": "699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.