Active NPI
Dennis L. Olson, O.D.
- Vision Therapy Optometrist
- San Jose, CA
National Provider Identifier
1699749697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OPT 05920T
- Practice address
- 5710 Cahalan Ave
BLDG 2
San Jose, CA 95123-3010 - Phone
- (408) 229-2020
- Fax
- (408) 227-5056
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 05920T | CA | |
| Vision Therapy Optometrist | 152WV0400X | OPT 05920T | CA | Primary |
Addresses
Primary practice location
5710 Cahalan Ave
BLDG 2
San Jose, CA 95123-3010
Mailing address
5710 Cahalan Ave
BLDG 2
San Jose, CA 95123-3010
Phone (408) 229-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0059200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130228000250 | CA | Practitioner - Optometry | 1951556752 | Practice locations: San Jose, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 05920T | CA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699749697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 CAHALAN AVE",
"address_2": "BLDG 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951233010",
"telephone_number": "408-229-2020",
"fax_number": "408-227-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 CAHALAN AVE",
"address_2": "BLDG 2",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951233010",
"telephone_number": "408-229-2020",
"fax_number": "408-227-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DENNIS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 05920T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "OPT 05920T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0059200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.