Colleen Ito, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9267 Issued in CA

Practice address

160 S Valencia Blvd Ste B
Woodlake, CA 93286-1712

Phone

(559) 564-2020

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Colleen Ito Steidley Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trevor Steidley ODGroup PAC ID 2466593918, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trevor Steidley O.D.

  • Optometrist
  • Porterville, CA
  • NPI 1528254661
  Medicare reassignment Care Compare group NPD
• Serrins Valley Vision Optometry Corp.

  • Optometrist
  • Visalia, CA
  • NPI 1558820555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1144553207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S VALENCIA BLVD STE B",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861712",
            "telephone_number": "559-564-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S VALENCIA BLVD STE B",
            "city": "WOODLAKE",
            "state": "CA",
            "postal_code": "932861712",
            "telephone_number": "559-564-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "COLLEEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "STEIDLEY",
            "middle_name": "ITO",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Foothill Pharmacy Inc.
• Paris Marie Gonzalez
• Dominic Gray
• Darren William Hardy, SCHOOL PSYCHOLOGIST
• Elwin R Hutchins, D.D.S.
• Kaweah Delta Health Care District
• Kaweah Delta Health Care District
• Ryan Keen
• Linda Li, PHARM.D.
• Leticia Lucatero Acosta, LMFT

• Optometrist in Woodlake, CA
• Providers in Woodlake, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.

Verify at the official NPI Registry.