Brian Colletto Od, Inc

LBN: Brian Colletto Od, Inc
Brian Colletto Od, Inc is an health care organization with primary practice located at 356 Oakland Ave , Rock Hill SC 29730-4064. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Brian Colletto Od, Inc can be contacted via phone (803) 980-3937, or through Colletto, Brian via phone (803) 980-3937.

Contact Information

Primary practice address
356 Oakland Ave Rock Hill SC 29730-4064
Phone: (803) 980-3937
Fax: (803) 980-5353
Website:
Map and Directions
Authorized official contact:
Name: Colletto, Brian Doctor of Optometry (OD)
Phone: (803) 980-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12029 South Carolina

Profile Details

NPI number 1356485346
LBN Legal business name Brian Colletto Od, Inc
DBA Doing business as
Authorized official Colletto, Brian Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Apr 25th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356485346 NPPES
South Carolina MEDICAID DA9761

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