Individual
DR. THOMAS JOHN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1028 MAIN ST, OCONTO, WI 54153-1538
(920) 834-2733
(920) 834-4955
Mailing address
PO BOX 318, OCONTO, WI 54153-0318
(920) 834-2733
(920) 834-4955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1597-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38508500
—
WI
Enumeration date
06/06/2006
Last updated
12/05/2013
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