Jennifer Colavito, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

VUT006115 Issued in NY

Practice address

136 E 57TH St Ste 1502
New York, NY 10022-2780

Phone

(212) 688-0618

Fax

(212) 688-0615

NPI assigned

Nov 21, 2006

Last updated

Oct 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Primary Eye Care Optometry LLPGroup PAC ID 5799061875, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Primary Eye Care Optometry, LLP

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1700323136
  Medicare reassignment Care Compare group Authorized official
• Jeffrey Cooper O.D., P.C.

  dba Cooper Panariello Eye Institute

  • Optometrist
  • Brooklyn, NY
  • NPI 1760245609
  Medicare reassignment NPD
• Jeffrey Cooper O.D., P.C.

  dba Central Eyes Optical

  • Optometrist
  • Hartsdale, NY
  • NPI 1982467551
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1699840074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222780",
            "telephone_number": "212-688-0618",
            "fax_number": "212-688-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E 57TH ST STE 1502",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222780",
            "telephone_number": "212-688-0618",
            "fax_number": "212-688-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAVITO",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "VUT006115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Colas, PMHNP
• Christine J. Colasacco
• Maria Colasuonno Kodjoe
• Dara Nicole Colasurdo, PA-C
• James Colasurdo, PSY.D.
• John Michael Colavito, MD
• Alyssa Colbert
• Carmen Colbert
• David Anthony Colbert, M.D.
• Max Colbert, MD, MBA

• Vision Therapy Optometrist in New York, NY
• Providers in New York, NY by specialty
• Vision Therapy Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.