Active NPI
Theresa J Colonna, O.D.
- Optometrist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTA-00511
- Practice address
- 891 Westminster St
Providence, RI 02903-4020 - Phone
- (401) 331-7850
- Fax
- (401) 274-4739
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTA-00511 | RI | Primary |
Addresses
Primary practice location
891 Westminster St
Providence, RI 02903-4020
Mailing address
891 Westminster St
Providence, RI 02903-4020
Phone (401) 331-7850
Other practice location 1
868 Reservoir Ave
Cranston, RI 02910-4414
Phone (401) 942-9933
Other practice location 2
319 Pocasset Ave
Providence, RI 02909-4800
Phone (401) 942-1444
Other practice location 3
1543 Smith St
North Providence, RI 02911-2943
Phone (401) 353-2010
Other practice location 4
295 S Main St
Providence, RI 02903-2910
Phone (401) 831-2015
Other practice location 5
600 Putnam Pike Ste 3
Greenville, RI 02828-1487
Phone (401) 949-7300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30483 | Other | RI | NEIGHBORHOOD HEALTH PLAN |
| 0000029299 | Other | RI | BLUE CROSS BLUE SHIELD |
| 24-62310 | Other | UNITED HEALTHCARE | |
| 412343 | Other | RI | BLUE CHIP |
| 7010622 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
891 Westminster St
Providence, RI 02903-4020
Phone (401) 688-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTA-00511 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westminster Eyecare Associates Inc | Optometrist | Current | Accepting new patients |
| College Hill Eye and Optical Inc. | Optometrist | Current | Accepting new patients |
| Smithfield Eye & Optical LLC | Optometrist | Current | Accepting new patients |
| Envisions Eyecare Centers Inc | Optometrist | Past | Accepting new patients |
Locations
868 Reservoir Ave
Cranston, RI 02910
Phone (401) 942-9933
600 Putnam Pike
Ste 3
Greenville, RI 02828
Phone (401) 949-3220
1543 Smith St
North Providence, RI 02911
Phone (401) 353-2010
319 Pocasset Ave
Providence, RI 02909
Phone (401) 842-1444
891 Westminster St
Providence, RI 02903
Phone (401) 331-7850
295 S Main St
Providence, RI 02903
Phone (401) 831-2015
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
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- Optometrist
- Greenville, RI
- NPI 1073116240
-
- Optometrist
- East Providence, RI
- NPI 1902079841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1124028378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 WESTMINSTER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034020",
"telephone_number": "401-331-7850",
"fax_number": "401-274-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 WESTMINSTER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034020",
"telephone_number": "401-331-7850",
"fax_number": "401-274-4739"
}
],
"practiceLocations": [
{
"address_1": "868 Reservoir Ave",
"address_purpose": "LOCATION",
"city": "Cranston",
"state": "RI",
"postal_code": "029104414",
"country_code": "US",
"telephone_number": "401-942-9933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "319 Pocasset Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029094800",
"country_code": "US",
"telephone_number": "401-942-1444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1543 Smith St",
"address_purpose": "LOCATION",
"city": "North Providence",
"state": "RI",
"postal_code": "029112943",
"country_code": "US",
"telephone_number": "401-353-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "295 S Main St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029032910",
"country_code": "US",
"telephone_number": "401-831-2015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Putnam Pike Ste 3",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "RI",
"postal_code": "028281487",
"country_code": "US",
"telephone_number": "401-949-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLONNA",
"first_name": "THERESA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTA-00511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "30483",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000029299",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "24-62310",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "412343",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7010622",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.