Olson, Jerry Alan

Olson, Jerry Alan is an sole proprietor health care provider with primary practice located at 3720 W. Washington Street , West Bend WI 53095. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olson, Jerry Alan can be contacted via phone (262) 338-1800.

Contact Information

Primary practice address
3720 W. Washington Street West Bend WI 53095
Phone: (262) 338-1800
Fax: (262) 338-1947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X WI1756-35 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 1756035 Wisconsin

Profile Details

NPI number 1043387467
LBN Legal business name Olson, Jerry Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated May 11th, 2010 - about 15 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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