MEDICARE: DR. HANNAH BOLLIG OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4040	MN

General Provider Information

NPI Number	:	1124977020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH BOLLIG OD

Provider Business Mailing Address
First Line	:	640 APACHE MALL
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-2109
Country	:	US
Telephone Number	:	507-252-1540
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 APACHE MALL
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-2109
Country	:	US
Telephone Number	:	507-252-1540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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