Jon C Kolstad, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

616 Issued in MT

Practice address

630 3Rd Ave S
Glasgow, MT 59230-2407

Phone

(406) 228-8641

Fax

(406) 228-2094

NPI assigned

Jan 4, 2007

Last updated

Apr 15, 2014By the provider in NPPES

Sex

Male

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

Enrolled in MT2 enrollments

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 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jon Kolstad O D, P C

  • Optometrist
  • Glasgow, MT
  • NPI 1639361058

  1951393123

  Same PAC ID

Specialty

Optometry

Education

Pacific University - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jon Kolstad O D, P C

  • Optometrist
  • Glasgow, MT
  • NPI 1639361058
  Medicare reassignment NPD Authorized official
• Jon C Kolstad OD, PC

  • Optometrist
  • Glasgow, MT
  • NPI 1700136199
  NPD Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1679620587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 3RD AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302407",
            "telephone_number": "406-228-8641",
            "fax_number": "406-228-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 3RD AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302407",
            "telephone_number": "406-228-8641",
            "fax_number": "406-228-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTAD",
        "first_name": "JON",
        "middle_name": "C",
        "credential": "OD PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon C Kolstad OD, PC
• Jon Kolstad O D, P C
• Tori Rae Kaufman, DNP, APRN, PMHNP
• Brandi Lynn Knierim, DNP, FNP-C
• David Arthur Knierim, M.D.
• Keenan Nichole Kuckler, MD
• Martin A Kurland, MD
• James Alton Martin, PH.D.
• Robert Martin, MPT
• Brean Drew McCarthy, D.O.

• Optometrist in Glasgow, MT
• Providers in Glasgow, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.