Organization Active NPI

Scott T. Olson

  • Eyewear Supplier
  • Saint James, MN
National Provider Identifier
1992987366
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SCOTT T. OLSON
Practice address
302 1St Ave S
Saint James, MN 56081-1724
Phone
(507) 375-2020
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Mr. Scott T OlsonNPI 1629345954
Title
President Ceo
Phone
(507) 375-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

302 1St Ave S
Saint James, MN 56081-1724

Mailing address

302 1St Ave S
Saint James, MN 56081-1724
Phone (507) 375-2020

Other identifiers 1

IdentifierTypeStateIssuer
956483200MedicaidMN

Other names 1

  • Olson Optical Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Olson Optical Inc302 1St Ave S, Saint James, MN 56081(507) 375-2020 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2012

National Provider Directory

National Provider Directory
Tax ID family
Olson Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1992987366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811724",
            "telephone_number": "507-375-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 1ST AVE S",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560811724",
            "telephone_number": "507-375-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T. OLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "507-375-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "956483200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Optical Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint James, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.