Active NPI
Linsey Michelle Olivier, O.D.
- Optometrist
- Idyllwild, CA
National Provider Identifier
1366639726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13333 TPA
- Practice address
- 54425 North Circle Drive
Suite 1 & 2
Idyllwild, CA 92549 - Phone
- (951) 692-0904
- NPI assigned
- Oct 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT 13333 TPA | CA | Primary |
Addresses
Primary practice location
54425 North Circle Drive
Suite 1 & 2
Idyllwild, CA 92549
Mailing address
P.O Box 1389
Idyllwild, CA 92549-1389
Phone (951) 692-0904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13333 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Brasfield OD a Professional Corporation | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Indio, CA
- NPI 1821441221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1366639726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 1389",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925491389",
"telephone_number": "951-692-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54425 NORTH CIRCLE DRIVE",
"address_2": "SUITE 1 & 2",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "92549",
"telephone_number": "951-692-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIER",
"first_name": "LINSEY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13333 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idyllwild, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.