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Oswego Optique Inc

NPI 1376680454ActiveOrganization· Optometrist· Lake Oswego, OR

Optometrist in Lake Oswego, Oregon, registered in NPPES in January 2007. The authorized official on file is Stephen J. Olsen, OD, Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1376680454
StatusActive
Entity typeOrganization
NPI issuedJan 30, 2007
Last updated in NPPESAug 31, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1934TOR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (OR); Part B Supplier - Clinic/Group Practice (OR)

Medicare sources and data years

Other Optometrist providers in Lake Oswego

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