Olson, Richard Dewey
Olson, Richard Dewey is an individual health care provider with primary practice located at 6218 Trail Ridge Ct , Oregon WI 53575-2534. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olson, Richard Dewey can be contacted via phone (608) 835-9434.Contact Information
Primary practice address
6218 Trail Ridge Ct
Oregon WI 53575-2534
Phone: (608) 835-9434
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1772-035 | Massachusetts |
Profile Details
NPI number | 1053355610 |
---|---|
LBN Legal business name | Olson, Richard Dewey |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053355610 | NPPES |
Wisconsin | MEDICAID | 38416300 |
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