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NPI Code Detail

MEDICARE: OLSON FAMILY VISION

MEDICARE: OLSON FAMILY VISION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2890-035WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275625667
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLSON FAMILY VISION
Provider Business Mailing Address
First Line : 200 S ORANGE ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-2170
Country : US
Telephone Number : 608-649-3937
Fax Number :
Provider Business Practice Location Address
First Line : 200 S ORANGE ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-2170
Country : US
Telephone Number : 608-649-3937
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. TRICIA L. OLSON
Credential : O.D.
Telephone Number : 608-935-0757
Provider Enumeration Date : 09/29/2006
Last Update Date : 12/05/2023

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Directions to “OLSON FAMILY VISION ” Practice Location

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