Leo Joseph Colarossi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001208 Issued in PA

Practice address

963 Beaver Grade Rd
Moon Township, PA 15108-2717

Phone

(412) 262-2010

Fax

(412) 262-2070

NPI assigned

Aug 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Eye Care Associates West

  dba LJ Colarossi & KJ Koza

  • Optometrist
  • Moon Township, PA
  • NPI 1235366386
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508970294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082717",
            "telephone_number": "412-262-2010",
            "fax_number": "412-262-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAROSSI",
        "first_name": "LEO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001208",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4810/1675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childen's Community Care (Children's Community Pediatrics)
• Lisa Ciamacco, RN
• Hallie Christine Cicco, OTD
• Alexis Anne Clark, PT,DPT
• Colaizzi Pedorthic Center (InStride Prosthetics & Orthotics)
• Louis Comis, PHARMD
• Veronica Ann Constantine, OD
• Mary McCaa Cothran, PHD, CRNP
• Abbey Cotton, MS, OTR/L
• Theresa Marie Crocenelli, MD

• Optometrist in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.