Leo Joseph Colarossi, O.D.
Individual provider Active NPI Optometrist · Moon Township, PA
NPI 1508970294 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508970294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG001208 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
963 Beaver Grade Rd
Coraopolis, PA 15108-6803
Phone (412) 262-2010
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130306000544 | PA | Practitioner - Optometry | 4981753589 | Practice locations: Coraopolis, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4810/1675 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates West | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001208 | PA | Yes |
| Optometrist | 152W00000X | 4810/1675 | OH |
Addresses
Primary practice location
963 Beaver Grade Rd
Moon Township, PA 15108-2717
Mailing address
963 Beaver Grade Rd
Moon Township, PA 15108-2717
Phone (412) 262-2010
Other providers in Moon Township, PA
- Cherrington Medical Associates
- Childen'S Community Care
- Lisa Ciamacco
- Hallie Christine Cicco
- Alexis Anne Clark
- Louis Comis
- Veronica Ann Constantine
- Mary McCaa Cothran
- Abbey Cotton
- Theresa Marie Crocenelli
All providers in Moon Township, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.