Individual provider Active NPI

Tricia L. Olson, O.D.

  • Optometrist
  • Richland Center, WI
National Provider Identifier
1457466609
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2890-035 Issued in WI
Practice address
1850 Bohmann Dr
Suite 11
Richland Center, WI 53581-2978
Phone
(608) 649-3937
Fax
(608) 649-3938
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2890-035 WI Primary

Addresses

Primary practice location

1850 Bohmann Dr
Suite 11
Richland Center, WI 53581-2978

Mailing address

18857 Cty Hwy BR
Richland Center, WI 53581
Phone (608) 647-9031

Other identifiers 1

IdentifierTypeStateIssuer
38623900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000535 WI Practitioner - Optometry 2860475423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1850 Bohmann Dr
Suite 11
Richland Center, WI 53581-2978
Phone (608) 649-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2890-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Family Vision Optometrist CurrentSince Sep 28, 2006 Accepting new patients
Center Optical, Inc. Optometrist Past Accepting new patients

Locations

1850 Bohmann Dr
Ste 11
Richland Center, WI 53581
Phone (608) 649-3937

1850 Bohmann Dr
Ste 1
Richland Ctr, WI 53581
Phone (608) 649-3937

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1457466609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18857 CTY HWY BR",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "53581",
            "telephone_number": "608-647-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BOHMANN DR",
            "address_2": "SUITE 11",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812978",
            "telephone_number": "608-649-3937",
            "fax_number": "608-649-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TRICIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2890-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38623900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.