Individual provider Active NPI

Christopher P Olson, O.D.

  • Optometrist
  • Mt Pleasant, IA
National Provider Identifier
1992864037
Registry record updated Jan 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01860 Issued in IA
Practice address
301 W Monroe St
Mt Pleasant, IA 52641-2112
Phone
(319) 385-9534
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01860 IA Primary

Addresses

Primary practice location

301 W Monroe St
Mt Pleasant, IA 52641-2112

Mailing address

301 W Monroe St
Mt Pleasant, IA 52641-2112
Phone (319) 385-9534

Other identifiers 4

IdentifierTypeStateIssuer
P00759633OtherIARR MEDICARE PROVIDER NUMBER
1254169MedicaidIA
010761565OtherIACHAMPUS REG8 PROVIDER#
25416OtherIABCBS IA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100519000422 IA Practitioner - Optometry 7416949862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01860IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons L L P CurrentSince Jan 1, 2017 Accepting new patients
Eye Physicians and Surgeons L L P CurrentSince Jan 1, 2017 Accepting new patients

Locations

2629 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3623

301 W Monroe St
Mt Pleasant, IA 52641
Phone (319) 385-9534

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483315200000",
    "number": "1992864037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MONROE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412112",
            "telephone_number": "319-385-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MONROE ST",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412112",
            "telephone_number": "319-385-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2017-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NUMBER",
            "identifier": "P00759633",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254169",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS REG8 PROVIDER#",
            "identifier": "010761565",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  IA PROVIDER NUMBER",
            "identifier": "25416",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

Verify at the official NPI Registry.