| Jon Olof Olson, OD | |
|
1210 County Road E W, Arden Hills, MN 55112-3783 | |
| (651) 523-8400 | |
| (651) 484-9650 |
| Full Name | Jon Olof Olson |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1210 County Road E W, Arden Hills, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881666162 | NPI | - | NPPES |
| 388323000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2055 (Minnesota) | Primary |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Olof Olson, OD 8100 34 Ave S, Mc21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7172 | Jon Olof Olson, OD 1210 County Road E W, Arden Hills, MN 55112-3783 Ph: (651) 523-8400 |
Ka Zoua Vang, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1210 County Rd E, Arden Hills, MN 55112 Phone: 651-523-8400 | |
Dr. Derek Allen Moline, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1210 County Rd E, Arden Hills, MN 55112 Phone: 651-523-8400 | |
David William Heesch, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1210 County Road E W, Arden Hills, MN 55112 Phone: 651-523-8400 Fax: 651-490-3709 |