Individual provider Active NPI

Nicholas Anthony Colaluca

  • Ophthalmology Physician
  • Ormond Beach, FL
National Provider Identifier
1417606187
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME179315 Issued in FL
Practice address
345 Clyde Morris Blvd Ste 330
Ormond Beach, FL 32174-3114
Phone
(386) 672-4244
Fax
(386) 672-0603
NPI assigned
Mar 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME179315 FL Primary

Addresses

Primary practice location

345 Clyde Morris Blvd Ste 330
Ormond Beach, FL 32174-3114

Mailing address

345 Clyde Morris Blvd Ste 330
Ormond Beach, FL 32174-3114
Phone (386) 672-4244

Other practice location 1

21 Hospital Dr Ste 160
Palm Coast, FL 32164-2454
Phone (386) 586-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609002106 FL Practitioner - Ophthalmology 5890177372

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Clyde Morris Blvd
Suite 330
Ormond Beach, FL 32174-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME179315FLMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: ncolaluca581360@direct.shands.ufl.edu

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1417606187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-672-4244",
            "fax_number": "386-672-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD STE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743114",
            "telephone_number": "386-672-4244",
            "fax_number": "386-672-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hospital Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642454",
            "country_code": "US",
            "telephone_number": "386-586-3711",
            "fax_number": "386-586-3788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLALUCA",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME179315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.