Individual provider Active NPI

Hannah Bollig, OD

  • Optometrist
  • Rochester, MN
National Provider Identifier
1124977020
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4040 Issued in MN
Practice address
640 Apache Mall
Rochester, MN 55902-2109
Phone
(507) 252-1540
NPI assigned
Jan 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 4040 MN Primary

Addresses

Primary practice location

640 Apache Mall
Rochester, MN 55902-2109

Mailing address

640 Apache Mall
Rochester, MN 55902-2109
Phone (507) 252-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20260206003447 MN Practitioner - Optometry 2769961085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19100 Ridgewood Pkwy
San Antonio, TX 78259-1828

19100 Ridgewood Pkwy
BLDG 1 7TH Floor
San Antonio, TX 78259-0001

3894 Eastwood Rd SE
Rochester, MN 55904-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4040MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince Feb 16, 2026 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Feb 16, 2026 Accepting new patients

Locations

1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011

640 Apache Mall
Rochester, MN 55902
Phone (507) 252-1540

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1124977020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 APACHE MALL",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022109",
            "telephone_number": "507-252-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 APACHE MALL",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022109",
            "telephone_number": "507-252-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLIG",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.