Todd Wollbrinck, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TODD WOLLBRINCK, OD, PC

Practice address

400 Junction Dr
Glen Carbon, IL 62034-4323

Phone

(618) 659-1870

Fax

(618) 659-1872

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Wollbrinck, ODNPI 1053419168

Title

President

Phone

(314) 853-6016

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Todd Robert Wollbrinck, O.D.

  • Optometrist
  • Glen Carbon, IL
  • NPI 1053419168
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1225749625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WOOD THRUSH ST",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942170",
            "telephone_number": "314-853-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JUNCTION DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620344323",
            "telephone_number": "618-659-1870",
            "fax_number": "618-659-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD WOLLBRINCK, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "WOLLBRINCK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-853-6016",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.