Individual provider Active NPI

Dennis L. Olson, O.D.

  • Vision Therapy Optometrist
  • San Jose, CA
National Provider Identifier
1699749697
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT 05920T Issued in CA
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SD0059200MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130228000250 CA Practitioner - Optometry 1951556752 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 05920TCAMDVision 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

Verify at the official NPI Registry.