Colean Services, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

FLOPC002229 Issued in FL

Legal business name

COLEAN SERVICES, INC.

Practice address

10855 S Federal Hwy
Port St Lucie, FL 34952-6410

Phone

(772) 337-4476

Fax

(772) 335-9258

NPI assigned

May 8, 2013

Last updated

May 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Edwin Colean, O.D.NPI 1750502266

Title

President

Phone

(772) 337-4476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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.

• John Edwin Colean, O.D.

  • Optometrist
  • Port St Lucie, FL
  • NPI 1750502266
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1275978835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526410",
            "telephone_number": "772-337-4476",
            "fax_number": "772-335-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526410",
            "telephone_number": "772-337-4476",
            "fax_number": "772-335-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "COLEAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-337-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLOPC002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Cody
• Marvin Ishmeal Cohen, A.R.N.P.
• Brianna Lynn Colando
• Cole Vision Corporation
• Skylar Cole
• John Edwin Colean, O.D.
• Charlyn A. Coleman, ARNP
• Latrice Amariah Coleman
• Wendy A Colin, RBT
• Dailen Collazo, APRN

• Optometrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.