Individual provider Active NPI

Benjamin Olive, OD

  • Optometrist
  • Greenwood Village, CO
National Provider Identifier
1306758669
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4258 Issued in CO
Practice address
4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352
Phone
(303) 220-5100
Fax
(720) 325-1275
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4258 CO Primary

Addresses

Primary practice location

4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352

Mailing address

4920 S Yosemite St Ste C5
Greenwood Village, CO 80111-1352
Phone (303) 220-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1306758669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 S YOSEMITE ST STE C5",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111352",
            "telephone_number": "303-220-5100",
            "fax_number": "720-325-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 S YOSEMITE ST STE C5",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111352",
            "telephone_number": "303-220-5100",
            "fax_number": "720-325-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.