Koll, Thomas J

Koll, Thomas J is an individual health care provider with primary practice located at 418 West 3Rd St , Red Wing MN 55065. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koll, Thomas J can be contacted via phone (651) 388-0738.

Contact Information

Primary practice address
418 West 3Rd St Red Wing MN 55065
Phone: (651) 388-0738
Fax: (651) 388-0739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1928 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 1879 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 1599 Oregon

Profile Details

NPI number 1124123567
LBN Legal business name Koll, Thomas J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124123567 NPPES
Minnesota Other 283R6K0 BCBS
Minnesota Other 2202055 BCBS

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