Active NPI
Kurt Robert Olson, O.D.
- Optometrist
- Marysville, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2034
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
709 Broadway
Marysville, KS 66508-1841
Phone (785) 562-2631
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2034 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kurt R. Olson, OD LLC | Optometrist | Current | Accepting new patients |
| Dr. Stanley J. Nelson | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Memorial Healthcare | Hospital | Corporate Director | Jan 15, 2025 |
| Community Memorial Healthcare | Hospital | Corporate Director | Jan 15, 2025 |
| Community Memorial Healthcare HHA | Home health agency | Corporate Director | Jul 31, 2023 |
| Blue Rapids Medical Clinic | Rural health clinic | Corporate Director | Jul 31, 2023 |
| Community Physicians Clinic | 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.
-
- Rural Health Clinic/Center
- Marysville, KS
- NPI 1295749067
Corporate Director
-
- Rural Health Clinic/Center
- Blue Rapids, KS
- NPI 1386678530
Corporate Director
-
- Home Health Agency
- Marysville, KS
- NPI 1568484848
Corporate Director
-
- Medicare Defined Swing Bed Hospital Unit
- Marysville, KS
- NPI 1659348589
Corporate Director
-
- Critical Access Hospital
- Marysville, KS
- NPI 1902872997
Corporate Director
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.
-
- Eyewear Supplier
- Marysville, KS
- NPI 1437338662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.