Active NPI
Carol A Kolling-Rickards, O.D.
- Optometrist
- Calumet City, IL
National Provider Identifier
1295894962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007843
- Practice address
- 1320 Torrence Ave
Calumet City, IL 60409-5512 - Phone
- (708) 868-5190
- Fax
- (708) 868-3232
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 | 046-007843 | IL | Primary |
Addresses
Primary practice location
1320 Torrence Ave
Calumet City, IL 60409-5512
Mailing address
1320 Torrence Ave
Calumet City, IL 60409-5512
Phone (708) 868-5190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-007843 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Vision Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267747200000",
"number": "1295894962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 TORRENCE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095512",
"telephone_number": "708-868-5190",
"fax_number": "708-868-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 TORRENCE AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095512",
"telephone_number": "708-868-5190",
"fax_number": "708-868-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLING-RICKARDS",
"first_name": "CAROL",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2010-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-007843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.