Active NPI
Gregory Allen Olson, O.D.
- Optometrist
- Westminster, MD
National Provider Identifier
1265577183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0993
- Practice address
- 400 N Center St
Westminster, MD 21157-5140 - Phone
- (410) 857-4200
- Fax
- (410) 848-9295
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0993 | MD | Primary |
Addresses
Primary practice location
400 N Center St
Westminster, MD 21157-5140
Mailing address
13105 Old Hanover Road
Reisterstown, MD 21136
Phone (410) 526-2724
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08568 | Other | MD | SPECTERA |
| 16626 | Other | MD | AVESIS |
| 579820 | Other | MD | HIGHMARK BLUE CROSS |
| 2124 | Other | MD | BALTIMORE CITY VISION |
| 44452 | Other | MD | DAVIS VISION |
| 210412 | Other | MD | NATIONAL VISION ADMIN |
| 2143327 | Other | MD | MAMSI |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265577183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13105 OLD HANOVER ROAD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "21136",
"telephone_number": "410-526-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N CENTER ST",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211575140",
"telephone_number": "410-857-4200",
"fax_number": "410-848-9295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "08568",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "16626",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "579820",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BALTIMORE CITY VISION",
"identifier": "2124",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "44452",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ADMIN",
"identifier": "210412",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2143327",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.