Olson, Dennis L.

Olson, Dennis L. is an individual health care provider with primary practice located at 5710 Cahalan Ave Bldg 2, San Jose CA 95123-3010. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Olson, Dennis L. can be contacted via phone (408) 229-2020.

Contact Information

Primary practice address
5710 Cahalan Ave Bldg 2 San Jose CA 95123-3010
Fax: (408) 227-5056
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 05920T California
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPT 05920T California

Profile Details

NPI number 1699749697
LBN Legal business name Olson, Dennis L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699749697 NPPES
California MEDICAID SD0059200

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