Active NPI
Marcelle Marie Kolo, OD
- Optometrist
- Amherst, NY
National Provider Identifier
1801943493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005600-1
- Practice address
- 4224 Maple Rd
Amherst, NY 14226-1060 - Phone
- (716) 833-1046
- Fax
- (716) 833-1158
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005600-1 | NY | Primary |
| Optometrist | 152W00000X | 0618000945 | VA |
Addresses
Primary practice location
4224 Maple Rd
Amherst, NY 14226-1060
Mailing address
102 Skyline Dr
Akron, NY 14001-1527
Phone (716) 542-1282
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005600-1 | NY | MD | Optometrist |
| 0618000945 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenscrafters | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Optometrist
- Schaumburg, IL
- NPI 1356748594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801943493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SKYLINE DR",
"city": "AKRON",
"state": "NY",
"postal_code": "140011527",
"telephone_number": "716-542-1282",
"fax_number": "716-833-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 MAPLE RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261060",
"telephone_number": "716-833-1046",
"fax_number": "716-833-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLO",
"first_name": "MARCELLE",
"middle_name": "MARIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005600-1",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.