Individual
DR. MATTHEW OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
(419) 756-2601
Mailing address
466 S TRIMBLE RD, MANSFIELD, OH 44906-3416
(419) 756-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6800
OH
152W00000X
Optometrist
Primary
OPT.006800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362050
—
OH
Enumeration date
06/11/2019
Last updated
04/26/2021
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