Healthcare Provider Details

I. General information

NPI: 1417267394
Provider Name (Legal Business Name): JOSHUA C OLSON OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JOSH OLSON OD

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 S PUBLIC RD
LAFAYETTE CO
80026-2127
US

IV. Provider business mailing address

805 S PUBLIC RD
LAFAYETTE CO
80026-2127
US

V. Phone/Fax

Practice location:
  • Phone: 303-381-0337
  • Fax: 303-381-0338
Mailing address:
  • Phone: 303-381-0337
  • Fax: 303-381-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.0002997
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: