Brian Colletto OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12029 Issued in SC

Legal business name

BRIAN COLLETTO OD, INC

Practice address

356 Oakland Ave
Rock Hill, SC 29730-4064

Phone

(803) 980-3937

Fax

(803) 980-5353

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Brian Colletto, ODNPI 1225144124

Title

Owner

Phone

(803) 980-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Colletto, OD

  • Optometrist
  • Rock Hill, SC
  • NPI 1225144124
  Medicare reassignment NPD Authorized official
• Bhumika Patel, OD

  • Optometrist
  • Indian Land, SC
  • NPI 1194134668
  Medicare reassignment NPD
• Calah Leigh Clayton, OD

  • Optometrist
  • Belmont, NC
  • NPI 1285129775

  SC

  Medicare reassignment NPD
• Aimee Jacobs, O.D.

  • Optometrist
  • Saint Peters, MO
  • NPI 1871969949

  SC

  Medicare reassignment NPD
• Mason Williams, OD

  • Optometrist
  • Mooresville, NC
  • NPI 1629569082

  SC

  Medicare reassignment NPD
• James Hartwell Hildebrand, OD

  • Optometrist
  • Rock Hill, SC
  • NPI 1609549971
  NPD
• Jamie John

  • Vision Therapy Optometrist
  • Rock Hill, SC
  • NPI 1710544564
  NPD (past)
• Brandi Marie Salazar, O.D.

  • Optometrist
  • Rock Hill, SC
  • NPI 1871842567
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1356485346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304064",
            "telephone_number": "803-980-3937",
            "fax_number": "803-980-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 OAKLAND AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304064",
            "telephone_number": "803-980-3937",
            "fax_number": "803-980-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN COLLETTO OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "COLLETTO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-980-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "12029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9761",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorrayne Bratton
• Prasheeda Bremjit, MD
• Andrew James Brenyo, M.D.
• Jody A. Brewer, AA-C
• Katherine Brewer, RN
• Levi Brice Jr.
• Mary Brice
• Sarah Brickhouse
• Bridgebuilders Family & Youth Services Inc.
• Lisa Grey Bridgewater, PH.D.

• Optometrist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.