Active NPI
Larry L. Olsen, O.D.
- Optometrist
- Edmond, OK
National Provider Identifier
1740240852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 881
- Practice address
- 501 E 15TH St
Suite 101
Edmond, OK 73013-5043 - Phone
- (405) 341-2062
- Fax
- (405) 341-6553
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 881 | OK | Primary |
| Eyewear Supplier | 332H00000X | 881 | OK |
Addresses
Primary practice location
501 E 15TH St
Suite 101
Edmond, OK 73013-5043
Mailing address
501 E 15TH St
Suite 101
Edmond, OK 73013-5043
Phone (405) 341-2062
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 |
|---|---|---|---|
| 881 | OK | MD | Eyewear Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott C. Sigler MD PC | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Edmond, OK
- NPI 1801831011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1740240852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E 15TH ST",
"address_2": "SUITE 101",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135043",
"telephone_number": "405-341-2062",
"fax_number": "405-341-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E 15TH ST",
"address_2": "SUITE 101",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135043",
"telephone_number": "405-341-2062",
"fax_number": "405-341-6553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LARRY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "881",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "OK",
"license": "881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.