Active NPI
Colleen Mary Riley, OD
- Optometrist
- Middleton, MA
National Provider Identifier
1689540205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002585
- Practice address
- 35 East St
Middleton, MA 01949-1505 - Phone
- (904) 608-6005
- NPI assigned
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002585 | IN | Primary |
Addresses
Primary practice location
35 East St
Middleton, MA 01949-1505
Mailing address
35 East St
Middleton, MA 01949-1505
Phone (904) 608-6005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002585 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1689540205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 EAST ST",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491505",
"telephone_number": "904-608-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 EAST ST",
"city": "MIDDLETON",
"state": "MA",
"postal_code": "019491505",
"telephone_number": "904-608-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "COLLEEN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.