Active NPI
Peter Michael Kolar, O.D.
- Optometrist
- Nekoosa, WI
National Provider Identifier
1023176971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2771
- Practice address
- 404 Market St
Nekoosa, WI 54457-1126 - Phone
- (715) 886-4731
- Fax
- (715) 886-4706
- NPI assigned
- Dec 4, 2006
- Last updated
- Apr 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2771 | WI | Primary |
Addresses
Primary practice location
404 Market St
Nekoosa, WI 54457-1126
Mailing address
404 Market St
Nekoosa, WI 54457-1126
Phone (715) 886-4731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38607400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
404 Market St
Nekoosa, WI 54457-1126
Phone (715) 886-4731
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2771 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kolar Optometric, LLC | Optometrist | Current | Accepting new patients |
| Kolar Optometric, LLC | Optometrist | Current | Accepting new patients |
Locations
404 Market St
Nekoosa, WI 54457
Phone (715) 886-4731
8243 Jackson St
Pittsville, WI 54466
Phone (715) 884-2030
Interoperability endpoints
- peter.kolar@kolarvision.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1023176971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MARKET ST",
"city": "NEKOOSA",
"state": "WI",
"postal_code": "544571126",
"telephone_number": "715-886-4731",
"fax_number": "715-886-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MARKET ST",
"city": "NEKOOSA",
"state": "WI",
"postal_code": "544571126",
"telephone_number": "715-886-4731",
"fax_number": "715-886-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLAR",
"first_name": "PETER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38607400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nekoosa, WI
- Craig Flinders, D.O.
- Ho Chunk Nation (Ho-Chunk Behavioral Health Care - Nekoosa)
- Cheryl R. Jacoby, H.I.S.
- Mary Ellen Klement
- Kolar Optometric, LLC (Kolar Vision Center)
- Salena Lemieux, MA, LPT-IT
- Nikos Michalis Linardakis, MD
- Elizabeth Ann Mallek, M.S. CCC-SLP
- Lindsay Maves, PA-C
- Taylor Anne McGibbon, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.