DR. GLEN R KOHLHAGEN OD
NPI 1124135660
Optometrist in Sheboygan, WI

Q: What is Glen Kohlhagen's NPI number?

The NPI number for Glen Kohlhagen is 1124135660. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Glen Kohlhagen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Kohlhagen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 23, 2006

59.4/100

CMS Quality Rating

2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461(920) 459-1483 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Dec 2, 2021 (2 updates tracked since 2021).

On this page

About Dr. Glen R Kohlhagen Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN R KOHLHAGEN OD (NPI 1124135660) is an individual optometrist in Sheboygan, Wisconsin, licensed in Wisconsin (2276-035) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124135660

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GLEN R KOHLHAGENCredential: OD

Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860

Phone(920) 457-4461

Fax(920) 459-1483

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedDecember 2, 2021

✔ NPI 1124135660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WI · 2276-035

Definition

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.

2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

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Other Identifiers 1

Medicaid38576300WI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

59.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

19.61

Promoting Interoperability

100

Improvement Activities

Cost

70.07

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA J MARKHAM PT

Physical Therapist