Michael a Colarusso, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002797B Issued in IN

Legal business name

MICHAEL A COLARUSSO, OD, PC

Practice address

1157 S Jackson St
Frankfort, IN 46041-3310

Phone

(765) 659-2711

Fax

(765) 654-6322

NPI assigned

Jan 24, 2012

Last updated

Nov 15, 2012By 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

Mr. Michael A Colarusso, ODNPI 1184788085

Title

Owner

Phone

(765) 659-2711

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael A Colarusso, O.D.

  • Optometrist
  • Frankfort, IN
  • NPI 1184788085
  Authorized official Same address or phone
• William R. Price, O.D.

  • Optometrist
  • Frankfort, IN
  • NPI 1023017308
  NPD (past)
• Lisa Lynn Stafford, OD

  • Optometrist
  • Frankfort, IN
  • NPI 1609988872
  NPD (past)

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1487925442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413310",
            "telephone_number": "765-659-2711",
            "fax_number": "765-654-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S JACKSON ST",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413310",
            "telephone_number": "765-659-2711",
            "fax_number": "765-654-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A COLARUSSO, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "COLARUSSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-659-2711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002797B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan McKinney Ulrich, L.C.S.W.
• Kayla Rose McWhirt
• Miranda B Mehlhose, OTR
• Meridian Health Services Corp. (Meridian Health Services)
• Meridian Health Services Corp. (Meridian Health Services)
• Michelle Ridenour, LMHC, PSC
• Kelsea Miller
• Milton Revelo Dental LLC
• Missy Luann Mobley, RPH
• Katherine E Montes

• Optometrist in Frankfort, IN
• Providers in Frankfort, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.