Active NPI
Gerald E Olson, O.D.
- Optometrist
- White Oak, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG00748
- Practice address
- 2001 Lincoln Way Ste 240
White Oak, PA 15131-2419 - Phone
- (412) 673-1243
- Fax
- (412) 673-1129
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG00748 | PA | Primary |
Addresses
Primary practice location
2001 Lincoln Way Ste 240
White Oak, PA 15131-2419
Mailing address
506 Athena Dr
Delmont, PA 15626-1005
Phone (724) 468-6869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG00748 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Pennsylvania, LLC | Optometrist | Current | Accepting new patients |
| Associates in Ophthalmology LTD | Past | Accepting new patients |
Locations
125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780
2001 Lincoln Way
White Oak, PA 15131
Phone (412) 672-7154
2001 Lincoln Way
Ste 240
White Oak, PA 15131
Phone (412) 673-1243
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 3
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
- Carlisle, PA
- NPI 1003264607
-
- Optometrist
- Cranberry Township, PA
- NPI 1093688491
-
- Ophthalmology Physician
- West Mifflin, PA
- NPI 1639175045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1619979549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 ATHENA DR",
"city": "DELMONT",
"state": "PA",
"postal_code": "156261005",
"telephone_number": "724-468-6869",
"fax_number": "724-468-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 LINCOLN WAY STE 240",
"city": "WHITE OAK",
"state": "PA",
"postal_code": "151312419",
"telephone_number": "412-673-1243",
"fax_number": "412-673-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GERALD",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG00748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Oak, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.