Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas S Kollodge

Individual provider Optometrist · NPI 1689055931

Thomas S Kollodge is an Optometry in Rice Lake, Wisconsin. Qualified in 2015, 11 years ago. Practices with Lakeview Medical Center Inc of Rice Lake, a 170-clinician group and accepts Medicare assignment. Licensed in Minnesota, Montana and Wisconsin.

Years since qualifying
11
Licensed in
MN, MT, WI
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1700 W Stout St
Rice Lake, WI 54868-5000
Phone: (715) 236-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3395 (WI)
Optometrist Taxonomy 152W00000X · Licence 3435 (MN)
Optometrist Taxonomy 152W00000X · Licence OPT-OPT-LIC-4926 (MT)

Record details

NPI number1689055931
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lakeview Medical Center Inc Of Rice Lake — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rice Lake