Doctor Name: | RICHARD J COLO |
NPI Number: | 1538259767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | 000736 |
Business Practice Address: | 162 Mountain Road Suffield, CT - 06078 |
Business Phone Number: | 8606685556 |
Business Fax Number: | 8606685556 |
Mailing Address: | 162 Mountain Road, SUFFIELD |
State: | CT |
Postal Code: | 06078 |
Phone Number: | 8606680266 |
Fax Number: | 8606685556 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 000736 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |