Organization
JARED C OLSON OD, P.C.
Active
Other names
Advanced Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED CRAIG OLSON O.D. (PRESIDENT/DOCTOR)
(505) 326-4080
Entity
Organization
Contact information
Practice address
1711 E 20TH ST, FARMINGTON, NM 87401-4309
(505) 326-4080
(505) 326-4260
Mailing address
1711 E 20TH ST, FARMINGTON, NM 87401-4309
(505) 326-4080
(505) 326-4260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
546
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34759077
—
NM
Enumeration date
03/14/2014
Last updated
03/14/2014
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