MEDICARE: JON OLOF OLSON OD

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
1	152W00000X	Optometrist	2055	MN

Other Identifiers

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

General Provider Information

NPI Number	:	1881666162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON OLOF OLSON OD

Provider Business Mailing Address
First Line	:	8100 34 AVE S
Second Line	:	MC21110Q
City	:	BLOOMINGTON
State	:	MN
Zip	:	55425-1672
Country	:	US
Telephone Number	:	952-883-7172
Fax Number	:	952-883-5395

Provider Business Practice Location Address
First Line	:	1210 COUNTY ROAD E W
Second Line	:
City	:	ARDEN HILLS
State	:	MN
Zip	:	55112-3783
Country	:	US
Telephone Number	:	651-523-8400
Fax Number	:	651-484-9650

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	03/10/2022

Similar Medicare Providers

1386636173 — TODD W GOTHARD MD
Practice Location Address:

1210 COUNTY ROAD E W
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax: 651-484-9650

1588636369 — DAVID WILLIAM HEESCH OD
Practice Location Address:

1210 COUNTY ROAD E W
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax: 651-490-3709

1679545198 — LAUREN B BAKER MD
Practice Location Address:

1210 COUNTY ROAD E W
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax: 651-484-9650

1588630925 — DR. DEREK ALLEN MOLINE O.D.
Practice Location Address:

1210 COUNTY RD E
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax:

1184690539 — MITCHELL E BLATT MD
Practice Location Address:

1210 COUNTY ROAD E W
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax: 651-484-9650

1205312832 — KA ZOUA VANG
Practice Location Address:

1210 COUNTY RD E
ARDEN HILLS, MN
55112-3783

Practice Phone: 651-523-8400
Practice Fax:

Directions to “ JON OLOF OLSON OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.