Thomas Steven Kollodge (NPI# 1689055931, PAC ID# 5799098109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1689055931 |
PAC ID by PECOS | 5799098109 |
Professional Enrollment ID | I20150714002089 |
Full Name | Thomas Steven Kollodge |
Organization Legal Name | ZUMBROTA EYE CARE LLC |
Address |
352 S Main St Zumbrota MN 55992-1544 |
Phone Number | 5077325013 |
Gender | M |
Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
Graduation Year | 2015 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2062635808 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
352 S Main St, Zumbrota, MN 55992-1544 | 5077325013 | ZUMBROTA EYE CARE LLC |
Organization Legal Name | ZUMBROTA EYE CARE LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin L Kish | Optometry | Zumbrota Eye Care LLC | 325 S Main St, Zumbrota, MN 55992-1543 |
Kristina A Voyna | Optometry | Zumbrota Eye Care LLC | 325 S Main St, Zumbrota, MN 55992-1543 |
Street Address |
352 S MAIN ST |
City | ZUMBROTA |
State | MN |
Zip | 55992-1544 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Joseph Benson | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 |
Charise N Mehrkens | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 |
Emily M Daligga | Internal Medicine | Mayo Clinic Health System Southeast Minnesota Region | 1350 Jefferson Dr, Zumbrota, MN 55992-1180 |
Stacy M Johnson | Chiropractic | 118 E 4th St, Zumbrota, MN 55992-1520 | |
Kevin L Kish | Optometry | Zumbrota Eye Care LLC | 325 S Main St, Zumbrota, MN 55992-1543 |
Kristina A Voyna | Optometry | Zumbrota Eye Care LLC | 325 S Main St, Zumbrota, MN 55992-1543 |
Andrea K Smothers | Clinical Social Worker | 77 W 5th St, Zumbrota, MN 55992-1648 | |
Troy P Higley | Chiropractic | 404 S Main St, Suite 1, Zumbrota, MN 55992-1680 |
City | ZUMBROTA |
Zip Code | 55992 |
Specialty | OPTOMETRY |
City + Specialty | ZUMBROTA + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.