Individual provider Active NPI

Angela Marie Kolbo, O. D.

  • Optometrist
  • Sioux City, IA
National Provider Identifier
1053666800
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002547 Issued in IA
Practice address
1909 Hamilton Blvd
Sioux City, IA 51104-4148
Phone
(712) 252-4333
Fax
(712) 252-1633
NPI assigned
Jul 18, 2012
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002547 IA Primary

Addresses

Primary practice location

1909 Hamilton Blvd
Sioux City, IA 51104-4148

Mailing address

1909 Hamilton Blvd
Sioux City, IA 51104-4148
Phone (712) 252-4333

Other practice location 1

721 10th St
Onawa, IA 51040-1128
Phone (712) 423-2737

Other practice location 2

223 Main St
Moville, IA 51039-7814
Phone (712) 873-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121009000279 IA Practitioner - Optometry 3779732607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Singing Hills Blvd
Sioux City, IA 51106-9702

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsley Vision Center PC Optometrist CurrentSince Oct 1, 2012 Accepting new patients
Southern Hills Eye Care PC Optometrist CurrentSince Sep 15, 2012 Accepting new patients

Locations

4600 Singing Hills Blvd
Sioux City, IA 51106
Phone (712) 271-4600

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1053666800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044148",
            "telephone_number": "712-252-4333",
            "fax_number": "712-252-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044148",
            "telephone_number": "712-252-4333",
            "fax_number": "712-252-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 10th St",
            "address_purpose": "LOCATION",
            "city": "Onawa",
            "state": "IA",
            "postal_code": "510401128",
            "country_code": "US",
            "telephone_number": "712-423-2737",
            "fax_number": "712-423-1685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "223 Main St",
            "address_purpose": "LOCATION",
            "city": "Moville",
            "state": "IA",
            "postal_code": "510397814",
            "country_code": "US",
            "telephone_number": "712-873-3440",
            "fax_number": "712-873-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLBO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.