Active NPI
Jaren Olsen, OD
- Optometrist
- Idaho Falls, ID
National Provider Identifier
1821597519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100631
- Practice address
- 3508 S 25TH E
Idaho Falls, ID 83404-5027 - Phone
- (208) 557-3222
- Fax
- (208) 561-8692
- NPI assigned
- Feb 7, 2018
- 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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | ODP-100631 | ID | |
| Optometrist | 152W00000X | ODP-100631 | ID | Primary |
Addresses
Primary practice location
3508 S 25TH E
Idaho Falls, ID 83404-5027
Mailing address
3508 S 25TH E
Idaho Falls, ID 83404-5027
Phone (208) 557-3222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3508 S 25TH
Idaho Falls, ID 83404-5027
Phone (208) 557-3222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100631 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reframed Eye LLC | Optometrist | Current | Accepting new patients |
| Wyovision Associates of Gillette LLC | Optometrist | Current | Accepting new patients |
Locations
3508 S 25th E
Idaho Falls, ID 83404
Phone (208) 557-3222
530 Running W Dr
#110
Gillette, WY 82718
Phone (307) 682-2747
Organizations & group practices 2
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.
-
- Optometrist
- Idaho Falls, ID
- NPI 1255170205
-
- Optometrist
- Gillette, WY
- NPI 1790235133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726272000000",
"number": "1821597519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 S 25TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045027",
"telephone_number": "208-557-3222",
"fax_number": "208-561-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 S 25TH E",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045027",
"telephone_number": "208-557-3222",
"fax_number": "208-561-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "JAREN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2024-09-14",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "ID",
"license": "ODP-100631",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.