Nicole Colasurdo Nolan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CT0028 Issued in CT

Practice address

185 Silas Deane Hwy Ste 1
Wethersfield, CT 06109-1219

Phone

(860) 296-1700

Fax

(860) 296-8341

NPI assigned

May 10, 2011

Last updated

Jul 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Specialty Group of Wethersfield, PLLCGroup PAC ID 4183975014, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optometric Specialty Group of Wethersfield, PLLC

  • Optometrist
  • Wethersfield, CT
  • NPI 1629561428
  Medicare reassignment Care Compare group NPD
• Optometric Specialty Group Limited Liability Company

  • Optometrist
  • West Hartford, CT
  • NPI 1184717365
  Medicare reassignment NPD

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1215229273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "860-296-1700",
            "fax_number": "860-296-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY STE 1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "860-296-1700",
            "fax_number": "860-296-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Brockett St",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061113907",
            "country_code": "US",
            "telephone_number": "860-667-2020",
            "fax_number": "860-667-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLASURDO NOLAN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT0028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Chudy, DC
• Robert Matthew Chupas, DDS
• Leah Cipollone, FNP
• Francis B Cleary, DDS
• Alanna Cofrancesco, LCSW
• Caitlin Cole, PA-C
• Patricia Sivo Cole, PH.D.
• Columbus Eye Associates
• Comprehensive Psychological & Assessment Services LLC
• Connecticut Advanced Eyecare LLC

• Optometrist in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.