Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174592794 Individual Practitioner Male Practitioner

Dr. Peter S Kollbaum , OD

Optometrist • Bloomington, IN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kollbaum, OD is a registered healthcare professional specializing in Optometrist in Bloomington, IN. Practice services are available at 744 E 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

744 E 3rd St

Bloomington, IN 474053603

Telephone 8128558436
Fax 8128551683
Associated Practice Facility / Clinic
🏢 Indiana University Facility NPI 1174566921

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
106 Specialists

Practicing in Bloomington, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-12
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18003057

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200284900 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013841527

Doctor of Optometry

NPI 1083663488

Doctor of Optometry

NPI 1124097472

Doctor of Optometry

NPI 1124437496

Doctor of Optometry

NPI 1124478581

Doctor of Optometry

NPI 1134108665

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 12, 2026

Registered at 744 E 3RD ST, BLOOMINGTON, IN 474053603 (Tel: 8128558436)

📍
Updated Business Mailing Address January 12, 2026

Registered at 744 E 3RD ST, BLOOMINGTON, IN 474053603 (Tel: 8128558436)

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 800 E ATWATER AVE, BLOOMINGTON, IN 474053635 (Tel: 8128554447)

📍
Updated Business Mailing Address October 21, 2015

Registered at 800 E ATWATER AVE, BLOOMINGTON, IN 474053635 (Tel: 8128554447)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as PETER KOLLBAUM, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Optometrist (License #18003057 in IN)

🟢
Initial NPI Registration & Enumeration March 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174592794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2006
Last Update: January 12, 2026
Sole Proprietor: No

Mailing Address

744 E 3rd St

Bloomington, IN 474053603

Phone: 8128558436

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.