Individual provider Active NPI

Mary Kathleen Kolkmeier, O.D.

  • Optometrist
  • Greensburg, IN
National Provider Identifier
1396908372
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003533A Issued in IN
Practice address
721 N Lincoln St
Greensburg, IN 47240-1328
Phone
(812) 663-8405
Fax
(812) 663-9764
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003533A IN Primary

Addresses

Primary practice location

721 N Lincoln St
Greensburg, IN 47240-1328

Mailing address

721 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 663-8405

Other practice location 1

1451 Jason Rd
Greenfield, IN 46140-1039
Phone (317) 462-6601

Other names 1

  • Mary Kathleen Bramlett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091029000634 IN Practitioner - Optometry 2062559685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Thomas E. Welage, O.D., P.C.Group PAC ID 0941333207, 3 clinicians

Practice addresses (Care Compare)

721 N Lincoln St
Greensburg, IN 47240-1328
Phone (812) 663-8405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E. Welage, O.D., P.C. Optometrist CurrentSince Nov 14, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

721 N Lincoln St
Greensburg, IN 47240
Phone (812) 663-8405

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1396908372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401328",
            "telephone_number": "812-663-8405",
            "fax_number": "812-663-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 N LINCOLN ST",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401328",
            "telephone_number": "812-663-8405",
            "fax_number": "812-663-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 Jason Rd",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401039",
            "country_code": "US",
            "telephone_number": "317-462-6601",
            "fax_number": "317-462-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLKMEIER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003533A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRAMLETT",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, IN

Sources for this page

Verify at the official NPI Registry.