Individual provider Active NPI

Cory Matthew Collier, O.D.

  • Corneal and Contact Management Optometrist
  • Bradenton, FL
National Provider Identifier
1972911147
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC4942 Issued in FL
Practice address
5489 Lena Rd
Bradenton, FL 34211
Phone
(941) 242-2020
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPC4942 FL Primary

Addresses

Primary practice location

5489 Lena Rd
Bradenton, FL 34211

Mailing address

5489 Lena Rd
Bradenton, FL 34211-9449
Phone (941) 242-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141030000631 FL Practitioner - Optometry 7315168689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collier Vision Group, PAGroup PAC ID 9234402165, 2 clinicians

Practice addresses (Care Compare)

6600 University Pkwy
Suite 306
Sarasota, FL 34240-9037
Phone (941) 242-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Southeastern University Inc. CurrentSince Aug 1, 2014 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University, Inc CurrentSince Aug 1, 2014 Accepting new patients
Collier Vision Group, PA Corneal and Contact Management CurrentSince Jun 3, 2017 Accepting new patients
University of Miami Past Accepting new patients

Locations

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

5489 Lena Rd
Lakewood Rch, FL 34211
Phone (941) 242-2020

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

6600 University Pkwy
Ste 306
Sarasota, FL 34240
Phone (941) 242-2020

819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1972911147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 LENA RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119449",
            "telephone_number": "941-242-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5489 LENA RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "941-242-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "CORY",
        "middle_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.