Active NPI
Karl E. Ohlsson, O.D.
- Corneal and Contact Management Optometrist
- Forest Park, GA
National Provider Identifier
1659486058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 1111
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1111 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Eye Clinic, Inc. | Past | Accepting new patients | |
| Parkway Family Eye Clinic Inc | Past | 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.
-
- Eyewear Supplier
- Forest Park, GA
- NPI 1104948678
-
- Optometrist
- Forest Park, GA
- NPI 1932404241
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.