Oswego Optique Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1934T Issued in OR

Legal business name

OSWEGO OPTIQUE INC

Practice address

466 2ND St
Lake Oswego, OR 97034-3127

Phone

(503) 636-6900

Fax

(503) 636-2985

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen J Olsen, ODNPI 1730172438

Title

Owner

Phone

(503) 636-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Stephen J Olsen, O.D.

  • Optometrist
  • Lake Oswego, OR
  • NPI 1730172438
  Medicare reassignment Care Compare group NPD Authorized official
• Shari L Mace, OD

  • Optometrist
  • Lake Oswego, OR
  • NPI 1760466015
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1376680454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 2ND ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343127",
            "telephone_number": "503-636-6900",
            "fax_number": "503-636-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 2ND ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343127",
            "telephone_number": "503-636-6900",
            "fax_number": "503-636-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO OPTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-636-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1934T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Peter Ortner IV, DDS, CAGS
• Oslo Ortho, LLC
• Arthur Eric Ostergard, MD
• Oswego Dental Associates (Lake Oswego Dental Center)
• Oswego Medical LLC
• Oswego Progressive Medicine, LLC (dba Today Integrative Health and Wellness)
• Dana Goss Otto, LCSW, MPH
• Alyona Ovcharenko
• Vanessa L Owen, MSW, LCSW
• Andrea G. Pace, FNP

• Optometrist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.