Individual
THOMAS S KOLLODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8100
Mailing address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 236-8175
(715) 236-8190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3395
WI
152W00000X
Optometrist
3435
MN
152W00000X
Optometrist
OPT-OPT-LIC-4926
MT
Other
Enumeration date
06/12/2015
Last updated
06/22/2026
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