Individual provider Active NPI

Matthew Austin Colosi, OD

  • Optometrist
  • Georgetown, DE
National Provider Identifier
1710878442
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I4-0010140 Issued in DE
Practice address
502 W Market St
Georgetown, DE 19947-2322
Phone
(302) 856-2020
NPI assigned
Jul 11, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I4-0010140 DE Primary

Addresses

Primary practice location

502 W Market St
Georgetown, DE 19947-2322

Mailing address

502 W Market St
Georgetown, DE 19947-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20260313000246 DE Practitioner - Optometry 6800379249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sussex Eye Center PAGroup PAC ID 4284623596, 9 clinicians

Practice addresses (Care Compare)

502 W Market St
Georgetown, DE 19947-2322
Phone (302) 856-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I4-0010140DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Eye Center PA Optometrist CurrentSince Jan 5, 2026 Accepting new patients
Peninsula Eye Center PA PastSince Jul 13, 2025 Accepting new patients

Locations

502 W Market St
Georgetown, DE 19947
Phone (302) 629-3044

32030 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-8881

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1710878442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOSI",
        "first_name": "MATTHEW",
        "middle_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I4-0010140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.