Colonna, Theresa J

Colonna, Theresa J is an individual health care provider with primary practice located at 891 Westminster St , Providence RI 02903-4020. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Colonna, Theresa J can be contacted via phone (401) 331-7850.

Contact Information

Primary practice address
891 Westminster St Providence RI 02903-4020
Phone: (401) 331-7850
Fax: (401) 274-4739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA-00511 Rhode Island

Profile Details

NPI number 1124028378
LBN Legal business name Colonna, Theresa J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 30th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124028378 NPPES
Rhode Island Other 0000029299 BLUE CROSS BLUE SHIELD
Rhode Island Other 412343 BLUE CROSS BLUE SHIELD
Rhode Island MEDICAID 7010622 BLUE CROSS BLUE SHIELD
Rhode Island Other 24-62310 BLUE CROSS BLUE SHIELD
Rhode Island Other 30483 BLUE CROSS BLUE SHIELD

Popular Providers