NPI Details
Jon C Kolstad, OD PC is an optometrist in Glasgow, MT with 31 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Jon C Kolstad, OD PC NPI is 1679620587. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1995
The provider's business location address is:
630 3RD AVE S
GLASGOW, MT
ZIP 59230-407
Phone: (406) 228-8641
Fax: (406) 228-2094
The NPI 1679620587 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The CLIA number assigned to this NPI record is 27D0908660 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient complete exam of visual system (HCPCS:92014)
- Exam of visual field with extended testing (HCPCS:92083)
- Established patient problem focused exam of visual system (HCPCS:92012)
- Photography of the retina (HCPCS:92250)
- Imaging of retina (HCPCS:92134)
- New patient complete exam of visual system (HCPCS:92004)
- Imaging of optic nerve (HCPCS:92133)
- Closure of tear duct opening using plug (HCPCS:68761)
- Removal of foreign body in cornea using slit lamp (HCPCS:65222)
- Removal of eyelashes using forceps (HCPCS:67820)
The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/15/2014.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 152W00000X | Optometrist | | 616 | MONTANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1094210001 | MEDICARE NSC | MONTANA | |
| 2 | 0000480012 | MEDICAID | MONTANA | |
| 3 | 0000483565 | MEDICAID | MONTANA | |
| 4 | U58391 | MEDICARE UPIN | MONTANA | |
| 5 | 000082587 | MEDICARE ID-TYPE UNSPECIFIED | MONTANA | |
| 6 | 000082588 | MEDICARE ID-TYPE UNSPECIFIED | MONTANA | |
| 7 | 0000482647 | MEDICAID | MONTANA | |
