Individual
DR. JEREMY J OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6136 E BROWN RD, STE 102, MESA, AZ 85205-4961
(480) 985-6211
(480) 985-6072
Mailing address
6136 E BROWN RD, STE 102, MESA, AZ 85205-4961
(480) 962-1623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1445
AZ
Other
Enumeration date
01/28/2006
Last updated
07/09/2020
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