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
Mailing address1700 W Stout St, Rice Lake, WI 54868-5000

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