=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922095058
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | O. OREN OLINGER OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2005
-----------------------------------------------------
Last Update Date | 01/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4801 W BETHEL AVE
-----------------------------------------------------
City | MUNCIE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-288-7744
-----------------------------------------------------
Fax | 765-282-0741
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4801 W BETHEL AVE
-----------------------------------------------------
City | MUNCIE
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47304-5510
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-288-7744
-----------------------------------------------------
Fax | 765-282-0741
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 18001468B
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------