Mrs Angie Evelyn Olson, | |
462 Commerce Dr Ste A, Madison, WI 53719-4987 | |
(608) 833-0062 | |
(608) 833-0431 |
Full Name | Mrs Angie Evelyn Olson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 25 Years |
Location | 462 Commerce Dr Ste A, Madison, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740254226 | NPI | - | NPPES |
39176498400 | Other | WI | UNITY |
38611800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | WI 2773 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olson Eye Care Llc | 5294818589 | 5 |
Provider Name | Olson Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215119789 PECOS PAC ID: 5294818589 Enrollment ID: O20080208000591 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angie Evelyn Olson, 1706 Autumn Hill Dr, Verona, WI 53593-7913 Ph: (608) 845-6225 | Mrs Angie Evelyn Olson, 462 Commerce Dr Ste A, Madison, WI 53719-4987 Ph: (608) 833-0062 |
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