Collazo Ophthalmology & Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE006393T Issued in PA

Legal business name

COLLAZO OPHTHALMOLOGY & OPTOMETRY

Practice address

4231 N 5TH St
Philadelphia, PA 19140-2602

Phone

(215) 455-1010

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rafael S Colazzo, OD

Title

Optometrist

Phone

(215) 455-1010

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Joseph Manuel Ortiz, M.D.

  • Ophthalmology Physician
  • Media, PA
  • NPI 1235126624
  Medicare reassignment NPD
• Javier Miguel De Jesus-Orpi, DPM

  • Podiatrist
  • Humacao, PR
  • NPI 1629120605

  PA

  Medicare reassignment NPD
• Rafael S Collazo, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1528152774
  Medicare reassignment
• Ernesto Luis Collazo, M.D.

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1134112667
  NPD (past)
• Melissa Iglesias, D.O.

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
  • NPI 1225112634
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1780955575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1141",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190045141",
            "telephone_number": "215-455-1010",
            "fax_number": "215-732-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191402602",
            "telephone_number": "215-455-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLAZO OPHTHALMOLOGY & OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "COLAZZO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "215-455-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006393T",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OE006393T",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "OE006393T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Halko Counseling LLC.
• Milton E Coll, MD
• Judith Colla, CNM
• Collaborative Therapy Solutions
• Madeline Sara Collazo Maguire, MD
• Edgar Collazo, M.D.
• Rafael S Collazo, OD
• Victor Manuel Collazo Jr.
• Nicollette Colleluori
• Samantha Colleluori, CRNP

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.