Stephen J Olsen (NPI# 1730172438, PAC ID# 4082616974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1730172438 |
| PAC ID by PECOS | 4082616974 |
| Professional Enrollment ID | I20070206000252 |
| Full Name | Stephen J Olsen |
| Organization Legal Name | OSWEGO OPTIQUE INC |
| Address |
466 2nd St Lake Oswego OR 97034-3127 |
| Phone Number | 5036366900 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446252332 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 466 2nd St, Lake Oswego, OR 97034-3127 | 5036366900 | OSWEGO OPTIQUE INC |
| Organization Legal Name | OSWEGO OPTIQUE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shari L Mace | Optometry | Oswego Optique Inc | 466 2nd St, Lake Oswego, OR 97034-3127 |
| Street Address |
466 2ND ST |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97034-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shari L Mace | Optometry | Oswego Optique Inc | 466 2nd St, Lake Oswego, OR 97034-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Khalili | Diagnostic Radiology | Los Robles Radiologic Associates | 1956 Highlands Loop, Lake Oswego, OR 97034-1549 |
| Neil Bastian | Physical Therapy | Bastian Physical Therapy, P.C. | 870 5th St, Lake Oswego, OR 97034-2312 |
| Edward E Conrad Jr. | Internal Medicine | 550 3rd St, Lake Oswego, OR 97034-3002 | |
| Joshua Alexander Gepner | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Kar Yee Wu | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Patricia Rotella Ligon | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Angelo Joseph Bologna | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Eleanor Jones | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Samantha M Bair Jones | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Monica Ferguson | Nurse Practitioner | 49 Ladd St, Lake Oswego, OR 97034-3853 | |
| Find all physicians in zip 97034 | |||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
| Specialty | OPTOMETRY |
| City + Specialty | LAKE OSWEGO + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.