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

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, OD

Title

Owner

Phone

(765) 659-2711

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• 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 Corp.
• 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.