DR. LARRY OLSON (O.D) – Optometrist, NPI 1720003866

DR. LARRY OLSON (O.D) is a healthcare provider. based in Madison heights, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D. They hold a License No. 4901002867 (MI). The NPI Number for DR. LARRY OLSON (O.D) is 1720003866

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY OLSON (O.D)
NPI
1720003866
Phone
(248) 577-3659
Address
655 W 13 MILE RD
Enumeration Date
12 July 2006
Last Update Date
11 March 2014

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
7344275200
Graduation Year
1982 (44 years ago)
PAC ID
2365619624
Group Practice PAC ID
9931194149
Professional Enrollment ID
I20120127000259
Address ID
MI481856215WE35184PKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. LARRY OLSON (O.D)

  • 655, West 13 Mile Road, Madison Heights, Oakland County, Michigan, 48071, United States

    MADISON HEIGHTS, MI 480711844

    Phone: (248) 577-3659

    Fax: (248) 588-9320

    Type: Mailing

  • John R Road, Troy, Oakland County, Michigan, 48307, United States

    TROY, MI 480835856

    Phone: (248) 544-3290

    Fax: (248) 528-4040

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120127000259IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 48071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931194149View full group profile

Reviews

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Frequently asked questions

How do I look up DR. LARRY OLSON (O.D) by NPI?
Use NPI 1720003866 when you need to reference DR. LARRY OLSON (O.D) in forms, claims, or directories.
Is DR. LARRY OLSON (O.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. LARRY OLSON (O.D)'s specialty in plain language?
Clinically, the directory lists DR. LARRY OLSON (O.D) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. LARRY OLSON (O.D) practice in Michigan?
You will see Madison Heights, Michigan on file for DR. LARRY OLSON (O.D) alongside any extra practice locations.
How can I contact DR. LARRY OLSON (O.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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