Individual
DR. JARED CRAIG OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
569 NM
NM
152W00000X
Optometrist
OPT 12848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34759077
—
NM
Enumeration date
03/07/2007
Last updated
01/17/2012
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