Angie Evelyn Olson

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI 2773 Issued in WI

Practice address

462 Commerce Dr Ste a
Madison, WI 53719-4987

Phone

(608) 833-0062

Fax

(608) 833-0431

NPI assigned

Feb 14, 2006

Last updated

Nov 27, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Angie Evelyn Olson Professional name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olson Eye Care LLCGroup PAC ID 5294818589, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Olson Eye Care LLC

  • Optometrist
  • Waupun, WI
  • NPI 1215119789
  Medicare reassignment Care Compare group NPD Authorized official
• Olson Eye Care LLC

  • Optometrist
  • Waupu, WI
  • NPI 1699904680
  NPD Authorized official
• Olson Eye Care

  • Optometrist
  • Richland Center, WI
  • NPI 1821220880
  NPD (past) Authorized official
• Anderson & Shapiro Eye Surgeons, SC

  • Ophthalmology Physician
  • Madison, WI
  • NPI 1699757302
  NPD (past)
• Olson Eye Care LLC

  • Optometrist
  • Waupun, WI
  • NPI 1356679807
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1740254226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 AUTUMN HILL DR",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535937913",
            "telephone_number": "608-845-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 COMMERCE DR STE A",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194987",
            "telephone_number": "608-833-0062",
            "fax_number": "608-833-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANGIE",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI 2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITY",
            "identifier": "39176498400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38611800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "OLSON",
            "middle_name": "EVELYN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kiersten E. Olsen, MD
• Mary-Jo Olsen, MSSW
• Mikaila Olsen
• Bryn Kathryn Olson-Greb, M.S.
• Aimee B Olson
• Ashleigh A Olson, M.D.
• Ashley Olson, APSW
• Ashley Marie Olson, RN
• Brittany Faith Olson, FNP
• Christy Olson, PHD

• Optometrist in Madison, WI
• Providers in Madison, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.
• 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.

Verify at the official NPI Registry.