Gerard A. Coluccelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME39542 Issued in FL

Practice address

931 Brookwood Rd
Jacksonville, FL 32207-4211

Phone

(904) 399-0441

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Gerard a Coluccelli MD PA

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1477605962
  NPD (past) Authorized official
• Gerard a.Coluccelli,M.D.

  dba See Clear Optical

  • Eyewear Supplier
  • Jacksonville, FL
  • NPI 1134236847
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1942317680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BROOKWOOD RD",
            "address_2": "900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074211",
            "telephone_number": "904-399-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BROOKWOOD RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074211",
            "telephone_number": "904-399-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUCCELLI",
        "first_name": "GERARD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME39542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15671",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180000739",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4045150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diedre Y Colson
• Karla Colson
• Kelli K Colson, ARNP
• Natrina Colson
• Coltman and Baughman Physical Therapy PA
• Daniel Thomas Colvin, PTA
• Nancy Elizabeth Colvin, FNP
• Nathaniel Lewis Colwell, DPT
• Alison Charles Colyer, PA-C
• Robert F Colyer Jr., MD

• Ophthalmology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.