Susan Kay Olsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2238 Issued in FL

Practice address

8020 Weatherby CT
Jacksonville, FL 32256-3636

Phone

(904) 464-0964

Fax

(904) 464-0216

NPI assigned

Jul 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fleming Island Vision Center

  • Optometrist
  • Orange Park, FL
  • NPI 1861668964
  NPD (past)
• Fleming Island Vision Center, Inc.

  • Optometrist
  • Fleming Island, FL
  • NPI 1245482710
  NPD (past)

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215820800000",
    "number": "1497919096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 WEATHERBY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563636",
            "telephone_number": "904-464-0964",
            "fax_number": "904-464-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 WEATHERBY CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563636",
            "telephone_number": "904-464-0964",
            "fax_number": "904-464-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren K Olsen
• Lauren Marie Olsen, DO
• Marisa A Olsen, APRN
• Sarah M Olsen, MSOT, OTR/L
• Savannah Olsen, OTD
• Tyler Olsen
• Amity Olson, LCSW
• Becky J Olson, PH.D.
• Brady Olson
• Caroline Grace Olson, MD

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; 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.