Collier Vision Group, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4942 Issued in FL

Legal business name

COLLIER VISION GROUP, PA

Practice address

5489 Lena Rd
Lakewood Ranch, FL 34211

Phone

(941) 877-0393

NPI assigned

Feb 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cory Matthew Collier, O.D.NPI 1972911147

Title

President

Phone

(941) 242-2020

Specialties & licenses 5

Addresses

Other names 1

• Artisan Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Cory Matthew Collier, O.D.

  • Corneal and Contact Management Optometrist
  • Bradenton, FL
  • NPI 1972911147
  Medicare reassignment Care Compare group NPD Authorized official
• Kara Allison Collier, O.D.

  • Pediatric Optometrist
  • Davie, FL
  • NPI 1295143477

  Pediatrics

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1669910154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 LENA RD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342119449",
            "telephone_number": "941-242-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 LENA RD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "941-877-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER VISION GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-242-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4942",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4943",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4942",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC4943",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC4943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artisan Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Artisan Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carl G Colton, MD
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• Optometrist in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.