Individual
JAREN OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3508 S 25TH E, IDAHO FALLS, ID 83404-5027
(208) 557-3222
(208) 561-8692
Mailing address
3508 S 25TH E, IDAHO FALLS, ID 83404-5027
(208) 557-3222
(208) 561-8692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100631
ID
152WL0500X
Low Vision Rehabilitation Optometrist
ODP-100631
ID
Other
Enumeration date
02/07/2018
Last updated
09/14/2024
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