NPIMap

Organization Active NPI

Eye Care Associates West

Doing business as LJ Colarossi & KJ Koza

  • Optometrist
  • Moon Township, PA
National Provider Identifier
1235366386
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009017 Issued in PA
Legal business name
EYE CARE ASSOCIATES WEST
Doing business as
LJ Colarossi & KJ Koza
Practice address
963 Beaver Grade Rd
Suite a
Moon Township, PA 15108-2717
Phone
(412) 262-2010
Fax
(412) 262-2070
NPI assigned
Jun 16, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Mrs. Suzanne Mamone
Title
Business Manager
Phone
(412) 262-2010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OET009017 PA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X OEG001208 PA

Addresses

Primary practice location

963 Beaver Grade Rd
Suite a
Moon Township, PA 15108-2717

Mailing address

963 Beaver Grade Rd
Suite a
Moon Township, PA 15108-2717
Phone (412) 262-2010

Other names 1

  • LJ Colarossi & KJ Koza Doing business as

National Provider Directory

National Provider Directory

Locations

963 Beaver Grade Rd
Moon Township, PA 15108
Phone (412) 262-2010

963 Beaver Grade Rd
Ste A
Moon Township, PA 15108
Phone (412) 262-2010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1235366386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "address_2": "SUITE A",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "address_2": "SUITE A",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MAMONE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "412-262-2010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009017",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LJ Colarossi & KJ Koza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.