JON OLOF OLSON (OD) – Optometrist, NPI 1881666162
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JON OLOF OLSON (OD)
S, East Stephens Drive, Eastern Heights, Bloomington, Monroe County, Indiana, 47408, United States
MC21110Q
BLOOMINGTON, MN 554251672
Phone: (952) 883-7172
Fax: (952) 883-5395
Type: Mailing
1210 COUNTY ROAD E W
ARDEN HILLS, MN 551123783
Phone: (651) 523-8400
Fax: (651) 484-9650
Type: Location
Lexington Parkway & Ashland Avenue, Lexington Parkway North, Summit - University, Saint Paul, Ramsey County, Minnesota, 55104, United States
#250 MAIL STOP 33000A
ST PAUL, MN 551266181
Phone: (651) 490-3700
Fax: (651) 490-3709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($63).
Total Amount
$63
General + Research + Ownership
Payments
2
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $63 |
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: 2006-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060818000095 | I | Optometry | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 172 | 172 | $0 |
| 92004 | New patient complete exam of visual system | 19 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 14 | $0 |
| 92083 | Exam of visual field with extended testing | 16 | 13 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
Reviews
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