Olson Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2773 Issued in WI

Legal business name

OLSON EYE CARE LLC

Practice address

537 E Main St
Waupun, WI 53963-2162

Phone

(920) 324-3501

Fax

(920) 324-3380

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Angie Trausch

Title

Optometrist/Owner

Phone

(920) 324-3501

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Olson Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Olson Eye Care

  • Optometrist
  • Richland Center, WI
  • NPI 1821220880
  NPD tax ID

Practitioners 1

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

• Angie Evelyn Olson

  • Optometrist
  • Madison, WI
  • NPI 1740254226
  NPD (past)

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1356679807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 E MAIN ST",
            "address_2": "PO BOX 350",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539632162",
            "telephone_number": "920-324-3501",
            "fax_number": "920-324-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539632162",
            "telephone_number": "920-324-3501",
            "fax_number": "920-324-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "TRAUSCH",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "920-324-3501"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38611800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "000087185",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Embjorg Nelson, PHARMD
• New Medical Center, S.C.
• William Newbert Jr.
• Robert D Newton, DO
• Olson Eye Care LLC
• Sarika J Parikh Bertram, DPM
• James Forrest Parish, PA-C
• Richard H Parish, PA
• Rachel Peppler, OT
• Dane Perlick

• Optometrist in Waupun, WI
• Providers in Waupun, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.