Individual provider Active NPI

Karen Olson, OD

  • Optometrist
  • Palatine, IL
National Provider Identifier
1881815025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0046-009046 Issued in IL
Practice address
279 N Northwest Hwy
Palatine, IL 60067-5326
Phone
(847) 358-4970
Fax
(847) 358-4972
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0046-009046 IL Primary

Addresses

Primary practice location

279 N Northwest Hwy
Palatine, IL 60067-5326

Mailing address

1669 Fairport Dr
Grayslake, IL 60030-7946
Phone (847) 309-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20060313000617 IL Practitioner - Optometry 6002822772 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0046-009046ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Q Optique at Imd, Inc. Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Eye Q Optique Inc Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Brilliant Eyecare, LLC PastSince Apr 30, 2003 Accepting new patients

Locations

722 Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (847) 947-8875

1855 W Taylor St
Rm 1075
Chicago, IL 60612

709 S Seeley St
Chicago, IL 60612
Phone (312) 262-5725

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881815025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 FAIRPORT DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307946",
            "telephone_number": "847-309-0098",
            "fax_number": "847-358-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 N NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600675326",
            "telephone_number": "847-358-4970",
            "fax_number": "847-358-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KAREN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046-009046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.