Individual provider Active NPI

Kurt Robert Olson, O.D.

  • Optometrist
  • Marysville, KS
National Provider Identifier
1891145751
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2034 Issued in KS
Practice address
709 Broadway
Marysville, KS 66508-1841
Phone
(785) 562-2631
Fax
(785) 562-4006
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2034 KS Primary

Addresses

Primary practice location

709 Broadway
Marysville, KS 66508-1841

Mailing address

709 Broadway
Marysville, KS 66508-1841
Phone (785) 562-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20160629000628 KS Practitioner - Optometry 9436440088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kurt R. Olson OD, LLC 2 clinicians

Practice addresses (Care Compare)

709 Broadway
Marysville, KS 66508-1841
Phone (785) 562-2631

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2034KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt R. Olson, OD LLC Optometrist CurrentSince Jan 22, 2020 Accepting new patients
Dr. Stanley J. Nelson PastSince Aug 1, 2021 Accepting new patients

Locations

715 Broadway
Marysville, KS 66508
Phone (785) 562-2631

709 Broadway
Marysville, KS 66508
Phone (785) 562-2631

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Memorial HealthcareMarysville, KS, CCN 171363 Hospital Corporate Director Jan 15, 2025
Community Memorial HealthcareMarysville, KS, CCN 17Z363 Hospital Corporate Director Jan 15, 2025
Community Memorial Healthcare HHAMarysville, KS, CCN 177101 Home health agency Corporate Director Jul 31, 2023
Blue Rapids Medical ClinicBlue Rapids, KS, CCN 173416 Rural health clinic Corporate Director Jul 31, 2023
Community Physicians ClinicMarysville, KS, CCN 173404 Rural health clinic Corporate Director Jan 15, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1891145751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BROADWAY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081841",
            "telephone_number": "785-562-2631",
            "fax_number": "785-562-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BROADWAY",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081841",
            "telephone_number": "785-562-2631",
            "fax_number": "785-562-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KURT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, KS

Sources for this page

Verify at the official NPI Registry.