Kathleen Marie Tolen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002931 Issued in MI

Practice address

1102 S 7TH St Apt 2
Saint Clair, MI 48079-5044

Phone

(810) 329-2447

Fax

(810) 982-0227

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477602035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S 7TH ST APT 2",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795044",
            "telephone_number": "810-329-2447",
            "fax_number": "810-982-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S 7TH ST APT 2",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795044",
            "telephone_number": "810-329-2447",
            "fax_number": "810-982-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Lynn Taylor, RPH
• Alexa Teagle
• Cortney Thomas, NP
• Thompson & Schroyer DDS PC
• Roger W. Thompson, D.D.S.
• Venancio Torres III, D.D.S.
• Milissa Trombley
• Dominick William Van Beneden
• Martina Rose Van Beneden
• Zoey Olivia Vanbaak

• Optometrist in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.