Individual provider Active NPI

Karl E. Ohlsson, O.D.

  • Corneal and Contact Management Optometrist
  • Forest Park, GA
National Provider Identifier
1659486058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1111 Issued in GA
Practice address
559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116
Phone
(404) 366-1806
Fax
(404) 361-2203
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1111 GA Primary

Addresses

Primary practice location

559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116

Mailing address

559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116
Phone (404) 366-1806

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

LicenseStateTypeSpecialty
1111GAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Eye Clinic, Inc. PastSince Feb 22, 2007 Accepting new patients
Parkway Family Eye Clinic Inc PastSince Aug 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659486058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 FOREST PKWY",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972116",
            "telephone_number": "404-366-1806",
            "fax_number": "404-361-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 FOREST PKWY",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972116",
            "telephone_number": "404-366-1806",
            "fax_number": "404-361-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSSON",
        "first_name": "KARL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.