Individual provider Active NPI

Scott A Colonna, O.D.

  • Optometrist
  • Providence, RI
National Provider Identifier
1538169784
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA-00491 Issued in RI
Practice address
891 Westminster St
Providence, RI 02903-4020
Phone
(401) 331-7850
Fax
(401) 274-4739
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X ODTA-00491 RI
Optometrist 152W00000X ODTA-00491 RI Primary

Addresses

Primary practice location

891 Westminster St
Providence, RI 02903-4020

Mailing address

891 Westminster St
Providence, RI 02903-4020
Phone (401) 331-7850

Other practice location 1

868 Reservoir Ave
Cranston, RI 02910-4414
Phone (401) 942-9933

Other practice location 2

600 Putnam Pike Ste 3
Greenville, RI 02828-1487
Phone (401) 949-7300

Other practice location 3

1543 Smith St
North Providence, RI 02911-2943
Phone (401) 353-2010

Other practice location 4

319 Pocasset Ave
Providence, RI 02909-4800
Phone (401) 942-1444

Other practice location 5

295 S Main St
Providence, RI 02903-2910
Phone (401) 831-2015

Other identifiers 11

IdentifierTypeStateIssuer
409736OtherRIBLUE CHIP RI
030510109OtherVISION SERVICE PLAN
419082077OtherRIMEDICARE OTHER
580001245OtherRAILROAD/METRA HEALTH
27925OtherRINEIGHBORHOOD HEALTH PLAN
9022661MedicaidRI
0000025743OtherRIBLUE CROSS BLUE SHIELD
3314220OtherAETNA INSURANCE
4866944001OtherCIGNA INSURANCE
22-00960OtherUNITED HEALTH CARE
814844OtherMASHANTUCKET PEQUOT TRIBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20110209000836 RI Practitioner - Optometry 5395951834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westminster Eyecare Associates IncGroup PAC ID 6305804907, 11 clinicians

Practice addresses (Care Compare)

891 Westminster St
Providence, RI 02903-4020
Phone (401) 688-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTA-00491RIMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster Eyecare Associates Inc Optometrist CurrentSince May 8, 2003 Accepting new patients
College Hill Eye and Optical Inc. Optometrist CurrentSince Apr 16, 2019 Accepting new patients
Smithfield Eye & Optical LLC Optometrist CurrentSince Nov 19, 2020 Accepting new patients
Envisions Eyecare Centers Inc Optometrist PastSince Sep 3, 2009 Accepting new patients
Ardmore Eye Care PC Optometrist PastSince Nov 1, 2024 Accepting new patients

Locations

868 Reservoir Ave
Cranston, RI 02910
Phone (401) 942-9933

600 Putnam Pike
Ste 3
Greenville, RI 02828
Phone (401) 949-3220

1543 Smith St
North Providence, RI 02911
Phone (401) 353-2010

295 S Main St
Providence, RI 02903
Phone (401) 831-2015

319 Pocasset Ave
Providence, RI 02909
Phone (401) 842-1444

891 Westminster St
Providence, RI 02903
Phone (401) 331-7850

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1538169784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "868 Reservoir Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029104414",
            "country_code": "US",
            "telephone_number": "401-942-9933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Putnam Pike Ste 3",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "RI",
            "postal_code": "028281487",
            "country_code": "US",
            "telephone_number": "401-949-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1543 Smith St",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029112943",
            "country_code": "US",
            "telephone_number": "401-353-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Pocasset Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029094800",
            "country_code": "US",
            "telephone_number": "401-942-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 S Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032910",
            "country_code": "US",
            "telephone_number": "401-831-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLONNA",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "RI",
            "license": "ODTA-00491",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA-00491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI",
            "identifier": "409736",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "030510109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OTHER",
            "identifier": "419082077",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD/METRA HEALTH",
            "identifier": "580001245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "27925",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9022661",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000025743",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "3314220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "4866944001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "22-00960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASHANTUCKET PEQUOT TRIBE",
            "identifier": "814844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.