THOMAS J KOLL (NPI# 1124123567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124123567 |
| Entity Type | Individual |
| Full Name | THOMAS J KOLL |
| Credential | OD |
| Practice Address |
418 West 3rd St Red Wing MN 55065 |
| Mailing Address |
3780 Granada Plaza No Oakdale MN 55128 |
| Practice Telephone | 6513880738 |
| Practice Fax Number | 6513880739 |
| Mailing Telephone | 6517792130 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1599 | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 1879 | WI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1928 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 283R6K0 | 01 |
| MN | MEDICA | 2202055 | 01 |
| Street Address |
418 WEST 3RD ST |
| City | RED WING |
| State | MN |
| Zip Code | 55065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861870461 | Kayla Volkert | Specialist/Technologist | 29101 Northfield Blvd, Randolph, MN 55065 | 2015-05-14 |
| 1245637552 | Randolph School District 195 | Local Education Agency (LEA) | 29110 Davisson Ave, Randolph, MN 55065-7803 | 2014-12-02 |
| 1326528340 | Leah Robin Radman | Occupational Therapist | 1948 270th St E, Randolph, MN 55065-9515 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1366041782 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 701 Hewitt Blvd Ste 2115, Red Wing, MN 55066-2848 | 2020-10-19 |
| 1265052682 | Amy Marguerite Nemanich | Student in an Organized Health Care Education/Training Program | 1123 Oak St, Red Wing, MN 55066-2448 | 2020-04-26 |
| 1881243590 | Bill Clafton Psyd Lp LLC | Psychologist | 1755 Old West Main St Ste 204, Red Wing, MN 55066-3057 | 2019-09-05 |
| 1609424712 | Fredrick Victor Parduhn | Pharmacist | 425 Sandy Ln, Red Wing, MN 55066-1759 | 2019-09-01 |
| 1417509472 | Omega Home Healthcare LLC | Home Health | 129 Hedin Ave Ste 101, Red Wing, MN 55066-1915 | 2019-07-10 |
| 1275093767 | Moment To Moment Healing Alternatives, LLC | Counselor | 217 Plum St Ste 100, Red Wing, MN 55066-2340 | 2019-03-21 |
| 1437618386 | Jessica Mertins | Social Worker | 129 Hedin Ave, Red Wing, MN 55066-1907 | 2019-03-19 |
| 1861964314 | Center for Natural Healthcare, Pllc | Chiropractor | 1626 W 3rd St, Red Wing, MN 55066-2086 | 2018-12-21 |
| 1396217287 | Abraham Sanchez | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region, 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2018-12-18 |
| Find all providers in RED WING | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326251711 | Red Wing Vision Care LLC | Optometrist | 144 Tyler Rd N # B, Red Wing, MN 55066-1840 | 2007-05-08 |
| 1821125535 | Struss Optical, Inc. | Optometrist | 434 W 3rd St, Red Wing, MN 55066-2309 | 2007-02-28 |
| 1952407637 | Paul W Cardinal | Optometrist | 144 Tyler Rd N Ste B, Red Wing, MN 55066-1889 | 2006-09-16 |
| 1003813635 | Red Wing Optometric Clinic, P.a. | Optometrist | 164 Tyler Rd S, Red Wing, MN 55066-1733 | 2005-06-28 |
| 1194014910 | Cottrell,lloyd Optometric,pa | Optometrist | 295 Tyler Rd S, Red Wing, MN 55066-1736 | 2011-04-01 |
| 1659503126 | Marie Helene Boisvert | Optometrist | 295 Tyler Rd S, Red Wing, MN 55066-1736 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615069 | Eagan Eye Clinic LLC | Optometrist | 12390 Sherburne Ave, Becker, MN 55308-9147 | 2020-10-02 |
| 1750998100 | Infinity Eye Care | Optometrist | 1275 Ramsey St Ste 700, Shakopee, MN 55379-3131 | 2020-09-29 |
| 1831700798 | Muychi Timothy Vang | Optometrist | 11217 Commerce Dr N, Champlin, MN 55316-3122 | 2020-08-13 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1699399592 | Nicole Rene Schmiedt | Optometrist | 400 Selby Ave Apt 221, Saint Paul, MN 55102-4509 | 2020-06-05 |
| 1700409885 | Russell N Osnes Od & Associates Pa | Optometrist | 1340 Duckwood Dr Ste 14, Eagan, MN 55123-2324 | 2020-05-22 |
| 1225657067 | Viginia Ho | Optometrist | 680 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-04-12 |
| 1992331359 | Megan Kaye Horter | Optometrist | 1 Veterans Dr # 100-77, Minneapolis, MN 55417-2309 | 2020-03-18 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.