John Charles Olson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

693 Issued in SD

Practice address

1400 10TH Ave W
Mobridge, SD 57601-1246

Phone

(605) 845-2932

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Associates LLPGroup PAC ID 2466433990, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.73 of 100Reported as group

Quality

85.15

Promoting interoperability

73

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Care Associates, LLP

  • Optometrist
  • Aberdeen, SD
  • NPI 1265502264
  Medicare reassignment Care Compare group NPD
• Ophthalmology Associates 010196

  • Ophthalmology Physician
  • Aberdeen, SD
  • NPI 1306900634
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1902248099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011246",
            "telephone_number": "605-845-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "693",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2013021018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobridge-Pollock School District 62-6
• Next Level Wellness, LLC
• Courtney M Nicholson
• Maranda Obritsch
• Heather Olson, PA-C
• Jennifer Ashley-Marie Pepin, RD, LDN
• Drew D Petersen, PT,DPT
• Todd Salfrank, CNP
• Matthew Jacob Schaffer, D.O.
• Shadow Anesthesia Services, LLC

• Optometrist in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.

Verify at the official NPI Registry.