Dr. Jerry Alan Olson , OD
Optometrist • West Bend, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Olson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jerry Olson, OD was a registered Optometrist practicing in West Bend, WI. Throughout an active medical career spanning 18 years, Dr. Olson provided care at the practice location at 3720 W. WASHINGTON STREET until profile deactivation on 2024-11-21.
Historical Medicare Part B clinical services included established patient complete exam of visual system, photography of the retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
3720 W. Washington Street
West Bend, WI 53095
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in West Bend, WI
Practicing in West Bend, WI (1196 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
14 | 13 | $88.29 | $87.19 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 21, 2024
Optometrist (License #WI1756-35 in WI)
NPI status registered as active in NPPES database
Registered at 3720 W. WASHINGTON STREET, WEST BEND, WI 53095 (Tel: 2623381800)
Registered at 3720 W. WASHINGTON STREET, WEST BEND, WI 53095 (Tel: 2623381800)
Recorded as JERRY OLSON, O.D.
Optometrist (License #WI1756-35 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3720 W. Washington Street
West Bend, WI 53095
Phone: 2623381800
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