Kolar Optometric, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KOLAR OPTOMETRIC, LLC

Practice address

404 Market St
Nekoosa, WI 54457-1126

Phone

(715) 886-4731

Fax

(715) 886-4706

NPI assigned

Feb 11, 2007

Organization subpart

Yes

Parent organization

KOLAR OPTOMETRIC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Peter Michael Kolar, O.D.NPI 1023176971

Title

Managing Member

Phone

(715) 886-4731

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kolar Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kolar Optometric, LLC

  • Optometrist
  • Pittsville, WI
  • NPI 1548445042

  O20080314000527

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Kolar Optometric LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Michael Kolar, O.D.

  • Optometrist
  • Nekoosa, WI
  • NPI 1023176971
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1215078258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MARKET ST",
            "address_2": "PO BOX 187",
            "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": {
        "organization_name": "KOLAR OPTOMETRIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KOLAR OPTOMETRIC, LLC",
        "enumeration_date": "2007-02-11",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KOLAR",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "715-886-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38607400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kolar Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James M Esselman
• Craig Flinders, D.O.
• Ho Chunk Nation
• Cheryl R. Jacoby, H.I.S.
• Mary Ellen Klement
• Peter Michael Kolar, O.D.
• Salena Lemieux, MA, LPT-IT
• Nikos Michalis Linardakis, MD
• Lindsay Maves, PA-C
• Taylor Anne McGibbon, MS, CCC-SLP

• All providers in Nekoosa, WI
• Optometrist in Wisconsin

• 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.
• 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.

Verify at the official NPI Registry.