Olympus Solutions, Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

010404 Issued in LA

Legal business name

OLYMPUS SOLUTIONS, INC.

Practice address

1134 S Clearview Pkwy
Suite D-133
Harahan, LA 70123-2399

Phone

(504) 676-8845

Fax

(504) 335-0740

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nia K Terezakis, M.D.

Title

Ceo

Phone

(505) 676-8845

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1346558053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 S CLEARVIEW PKWY",
            "address_2": "SUITE D-133",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232399",
            "telephone_number": "504-676-8845",
            "fax_number": "504-335-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 S CLEARVIEW PKWY",
            "address_2": "SUITE D-133",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232399",
            "telephone_number": "504-676-8845",
            "fax_number": "504-335-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "TEREZAKIS",
        "authorized_official_first_name": "NIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-676-8845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "010404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "010404",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Harahan, LA
• Providers in Harahan, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.