Coram Hills Eyecare Optometry & Opthalmic Dispensing PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

CORAM HILLS EYECARE OPTOMETRY & OPTHALMIC DISPENSING PLLC

Practice address

592 Mill Rd
Coram, NY 11727-4114

Phone

(631) 732-0822

Fax

(631) 732-0018

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Coltellino, OD

Title

Principal Partner

Phone

(631) 732-0822

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366423493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 MILL RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274114",
            "telephone_number": "631-732-0822",
            "fax_number": "631-732-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 MILL RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274114",
            "telephone_number": "631-732-0822",
            "fax_number": "631-732-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HILLS EYECARE OPTOMETRY & OPTHALMIC DISPENSING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLTELLINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "631-732-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02160869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Coltellino, OD
• Christina Cona
• Marilyn F Conner, CANP
• Coram Drugs Inc.
• Coram Fire District
• Coram Podiatry PLLC
• Coram RX LTD
• Alicia Cordner, MA, CCC-SLP
• Karen Cordoves, R.N.
• Caresse Rose Correa, DNP, CRNA

• Eyewear Supplier in Coram, NY
• Providers in Coram, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.