Michael A Colarusso, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002797 Issued in IN

Practice address

1157 S Jackson St
Frankfort, IN 46041-3310

Phone

(765) 659-2711

Fax

(765) 654-6322

NPI assigned

Dec 22, 2006

Last updated

Nov 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Illinois College of Optometry at Chicago, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Indiana Professional PC

  • Optometrist
  • Warsaw, IN
  • NPI 1043944127
  Medicare reassignment Care Compare group NPD
• Brownsburg Family Eyecare PC

  • Optometrist
  • Brownsburg, IN
  • NPI 1811034259
  Medicare reassignment NPD
• Michael a Colarusso, OD, PC

  • Optometrist
  • Frankfort, IN
  • NPI 1487925442
  Authorized official Same address or phone
• Dr Tabitha G Temple PC

  • Optometrist
  • Warsaw, IN
  • NPI 1851484125
  NPD (past)
• Visionquest Eyecare, PC

  • Optometrist
  • Greenwood, IN
  • NPI 1013015429
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1184788085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413310",
            "telephone_number": "765-659-2711",
            "fax_number": "765-654-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413310",
            "telephone_number": "765-659-2711",
            "fax_number": "765-654-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLARUSSO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton County Health Dept
• Clinton County Indiana (Clinton County EMS)
• Clinton County Wic Program
• Clinton Prairie School Corporation
• Jessica Cloud, LMFT
• Dawn Rene' Colburn, DPT
• Community Schools of Frankfort
• Stephanie Correa, PT
• Alyssa C Cotten, MS, CF-SLP
• County Seat Emergency Physicians LLC

• Optometrist in Frankfort, IN
• Providers in Frankfort, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.