Olson, Jay R
Olson, Jay R is an individual health care provider with primary practice located at 12511 Wayzata Blvd Ridgedale Center, Minnetonka MN 55305-1938. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Olson, Jay R can be contacted via phone (952) 591-1970.Contact Information
Primary practice address
12511 Wayzata Blvd Ridgedale Center
Minnetonka MN 55305-1938
Phone: (952) 591-1970
Fax: (952) 591-1972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2325 | Minnesota |
Profile Details
| NPI number | 1326072752 |
|---|---|
| LBN Legal business name | Olson, Jay R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jan 30th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326072752 | NPPES |
| Minnesota | MEDICAID | 222141100 |
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