Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1952 | CO |
NPI | 1255452850 |
---|---|
Provider Name | Rikard L. Olson |
First Address | Westminster, CO 80234-3151 |
Second Address | Westminster, CO 80031-2952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |