Organization Active NPI

Carl Olson Optometry LLC

  • Optometrist
  • Sandusky, OH
National Provider Identifier
1861746422
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH5137 Issued in OH
Legal business name
CARL OLSON OPTOMETRY LLC
Practice address
178 E Market St
Sandusky, OH 44870-2506
Phone
(419) 502-3239
Fax
(419) 502-9467
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Carl Olson, ODNPI 1912094715
Title
Optometrist
Phone
(614) 439-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OH5137 OH Primary

Addresses

Primary practice location

178 E Market St
Sandusky, OH 44870-2506

Mailing address

1221 Ogontz St
Sandusky, OH 44870-4065
Phone (419) 502-3239

National Provider Directory

National Provider Directory

Locations

178 E Market St
Sandusky, OH 44870
Phone (419) 502-3239

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1861746422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 OGONTZ ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704065",
            "telephone_number": "419-502-3239",
            "fax_number": "419-502-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E MARKET ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448702506",
            "telephone_number": "419-502-3239",
            "fax_number": "419-502-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL OLSON OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-439-2275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.