Jared C Olson OD, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

546 Issued in NM

Legal business name

JARED C OLSON OD, P.C.

Practice address

1711 E 20TH St
Farmington, NM 87401-4309

Phone

(505) 326-4080

Fax

(505) 326-4260

NPI assigned

Mar 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jared Craig Olson, O.D.NPI 1386775070

Title

President/Doctor

Phone

(505) 326-4080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Family Eyecare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Craig Olson, O.D.

  • Optometrist
  • Farmington, NM
  • NPI 1386775070
  NPD (past) Authorized official

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1285050146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014309",
            "telephone_number": "505-326-4080",
            "fax_number": "505-326-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014309",
            "telephone_number": "505-326-4080",
            "fax_number": "505-326-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED C OLSON OD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "505-326-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34759077",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savanna Dru Jamison, FNP
• Jeanette Louise Jaquez, PTA
• Laura Sproston Jaquez, M.D.
• Isabel Jaramillo
• Richard W Jaramillo, LADAC
• Meho Jasarevic, M.D.
• Jasper and Associates, LLC
• Heidi Jasper-Petrozzino
• Rebecca G Jasper, MSW ACSW LISW
• Araceli Jauregui Aguilera, FNP

• All providers in Farmington, NM
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.