Carol R Kollarits, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35032573 Issued in OH

Practice address

3509 Briarfield Blvd
Maumee, OH 43537

Phone

(419) 865-3866

Fax

(419) 865-3451

NPI assigned

May 19, 2006

Last updated

Aug 15, 2018By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1598719114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379383",
            "telephone_number": "419-865-3866",
            "fax_number": "419-865-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-865-3866",
            "fax_number": "419-865-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLARITS",
        "first_name": "CAROL",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35032573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180010719",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Kathryn Klink, CNP
• Lee Klopfenstein, M.D.
• Paige Kluge, PHARMD
• Jeffrey Lee Koepfler, D.C.
• Dan Koester, CDCA
• Michael L. Koltz, MD
• Melisa Ann Konesni
• Amy Konieczny, DPT
• Olivia Kosek
• Laura Susanne Kovacik, PHYSICIAN ASSISTANT

• Ophthalmology Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.