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Contact Information

JARED C OLSON, OD
1711 E 20TH ST
FARMINGTON, NM87401-4309
 Phone: 505-326-4080
 Fax: 505-326-4260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JARED C OLSON · (Male)

NPI Number 1386775070
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/07/2007
Last updated 01/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OPT 12848
  • NM License # 569 NM
  • NM Medicaid 34759077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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