What is Peter Kollbaum's NPI number?

Peter Kollbaum's National Provider Identifier (NPI) is 1174592794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Peter Kollbaum's specialty?

Peter Kollbaum is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Peter Kollbaum located?

Peter Kollbaum's practice location on file with NPPES is 744 E 3rd St, Bloomington, IN 47405-3603.

What is Peter Kollbaum's phone number?

The practice phone number listed in the NPPES registry for Peter Kollbaum is (812) 855-8436.

Is Peter Kollbaum's NPI active?

Yes — Peter Kollbaum's NPI (1174592794) is active in the NPPES registry as of the last update on 2026-01-12.

IndividualActive

Peter Kollbaum, O.D.

NPI 1174592794 · Optometrist · Bloomington, IN

Peter Kollbaum, O.D. is a Optometrist provider in Bloomington, IN (NPI 1174592794).

Provider details

NPI number: 1174592794
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: No
License: 18003057 (IN)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 18003057 (IN)
Eye and Vision Services Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

744 E 3rd St

Bloomington, IN 47405-3603

Phone: (812) 855-8436

Fax: (812) 855-1683

Street-level locationGet directions

Mailing address