Ailsa H. Colbert, O.D.
Individual provider Active NPI Optometrist · Florence, MA
NPI 1669609152 · NPPES record last updated Apr 19, 2013
Key facts
- NPI
- 1669609152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4852 (MA)
- Practice address
- 70 Main St
Northampton Health Center
Florence, MA 01062-1466 - Phone
- (413) 586-8400
- Fax
- (413) 585-5463
- NPI assigned
- Jun 11, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4852 | MA | MD | Mental Health Counselor |
| OPC 4436 | FL | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4436 | FL | |
| Optometrist | 152W00000X | 4852 | MA | Yes |
Addresses
Primary practice location
70 Main St
Northampton Health Center
Florence, MA 01062-1466
Mailing address
PO Box 448
Great Barrington, MA 01230-0448
Phone (240) 205-3763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA231044 | Other | MA | HARVARD PILGRIM HEALTHCARE |
| 110090192A | Medicaid | MA | |
| 53059 | Other | MA | HEALTH NEW ENGLAND |
Other providers in Florence, MA
- Sean Joseph Clawson
- Clinical & Support Options
- Clinical and Support Options
- Clinical and Support Options
- Clinical Support Options Inc
- Christa Leigh Colly
- Jeffery S Cooley
- Tessa Corcoran-Sayers
- Andrew Cronyn
- Dominique Milagros Cruz-Soth
All providers in Florence, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.