Laila Colicchio, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA005384 Issued in NJ

Practice address

104 Market St
Perth Amboy, NJ 08861-4412

Phone

(732) 826-5159

Fax

(732) 826-2107

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santamaria Eye Center P aGroup PAC ID 2961445606, 7 clinicians

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.56 of 100Reported as group

Quality

87.82

Improvement activities

40

Cost

48.54

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lcolicchio@gwd.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Centers of America, LLC

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Edison, NJ
  • NPI 1841425840

  Optometrist

  Medicare reassignment Care Compare group NPD
• New GW LLC

  • Ophthalmology Physician
  • East Brunswick, NJ
  • NPI 1508375353
  NPD
• Santamaria Eye Center P a

  • Ophthalmology Physician
  • Perth Amboy, NJ
  • NPI 1952382871

  Optometrist

  NPD
• Freehold Ophthalmology, LLC

  • Ophthalmology Physician
  • Freehold, NJ
  • NPI 1861446932
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1366423287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614412",
            "telephone_number": "732-826-5159",
            "fax_number": "732-826-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARKET ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614412",
            "telephone_number": "732-826-5159",
            "fax_number": "732-826-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLICCHIO",
        "first_name": "LAILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA005384",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "TO000703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8972800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarity Treatment Center LLC
• Clarity Treatment Center, LLC
• Clarity Treatment Services, LLC
• Clarity Treatment Services, LLC
• Dane E Clarke, MD
• Community Pharmacy LLC
• Gabriela Andrea Concepcion Corcino, DC
• Confident Care Corp
• Convery Dental Associates
• Convery Doctors and PT

• Optometrist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.