Active NPI
Clifford Olson
- Audiologist-Hearing Aid Fitter
- Phoenix, AZ
National Provider Identifier
1679022552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA9937
- Practice address
- 4045 E Union Hills Dr Ste D128
Phoenix, AZ 85050-3388 - Phone
- (602) 877-0000
- Fax
- (623) 900-7877
- NPI assigned
- Oct 3, 2016
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | DA9937 | AZ | Primary |
Addresses
Primary practice location
4045 E Union Hills Dr Ste D128
Phoenix, AZ 85050-3388
Mailing address
1717 E Morten Ave Unit 10
Phoenix, AZ 85020-4752
Phone (636) 219-1353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4045 E Union Hills Dr
Suite D128
Phoenix, AZ 85050-3388
Phone (602) 877-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Phoenix, AZ
- NPI 1205372794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1679022552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 E MORTEN AVE UNIT 10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204752",
"telephone_number": "636-219-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E UNION HILLS DR STE D128",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850503388",
"telephone_number": "602-877-0000",
"fax_number": "623-900-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "CLIFFORD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-03",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA9937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.