Colo, Richard J
Colo, Richard J is an sole proprietor health care provider with primary practice located at 162 Mountain Road , Suffield CT 06078. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Colo, Richard J can be contacted via phone (860) 668-5556.Contact Information
Primary practice address
162 Mountain Road
Suffield CT 06078
Phone: (860) 668-5556
Fax: (860) 668-5556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 000736 | Connecticut |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 000736 | Connecticut |
Profile Details
| NPI number | 1538259767 |
|---|---|
| LBN Legal business name | Colo, Richard J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538259767 | NPPES |
| Connecticut | Other | 000736 | ST OF CT LICENSE NUMBER |
| Connecticut | Other | 060873489 | ST OF CT LICENSE NUMBER |
| Connecticut | MEDICAID | 004023933 | ST OF CT LICENSE NUMBER |
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