Active NPI
Jaime Olmo Jr., LSA
- Surgical Assistant
- Richmond, TX
National Provider Identifier
1619095627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00184
- Practice address
- 5703 Lakeshore Vista Dr
Richmond, TX 77469-4297 - Phone
- (713) 598-1919
- Fax
- (832) 471-6044
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00184 | TX | Primary |
Addresses
Primary practice location
5703 Lakeshore Vista Dr
Richmond, TX 77469-4297
Mailing address
5703 Lakeshore Vista Dr
Richmond, TX 77469-4297
Phone (713) 598-1919
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 |
|---|---|---|---|
| SA00184 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420156800000",
"number": "1619095627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 LAKESHORE VISTA DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774694297",
"telephone_number": "713-598-1919",
"fax_number": "832-471-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 LAKESHORE VISTA DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774694297",
"telephone_number": "713-598-1919",
"fax_number": "832-471-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMO",
"first_name": "JAIME",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2015-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.