DR. THERESA J COLONNA O.D.
NPI 1124028378
Optometrist in Providence, RI
NPI Status: Active since July 29, 2005
Contact Information
891 WESTMINSTER ST
PROVIDENCE, RI
ZIP 02903
Phone: (401) 331-7850
Fax: (401) 274-4739
- Individual
- Female
- Optometrist
- Accepts Insurance
- PECOS Enrolled
About THERESA COLONNA
This page provides the complete NPI Profile along with additional information for Theresa Colonna, a provider established in Providence, Rhode Island with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1124028378 assigned on July 2005. The practitioner's primary taxonomy code is 152W00000X with license number ODTA-00511 (RI). The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1124028378
- Provider Name
- DR. THERESA J COLONNA O.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 891 WESTMINSTER ST PROVIDENCE, RI 02903
- Location Phone
- (401) 331-7850
- Location Fax
- (401) 274-4739
- Mailing Address
- 891 WESTMINSTER ST PROVIDENCE, RI 02903
- Mailing Phone
- (401) 331-7850
- Mailing Fax
- (401) 274-4739
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-29-2005
- Last Update Date
- 05-06-2025
- Code Navigator
Location Map
Secondary Locations
- 319 Pocasset Ave
Providence, RI 02909
(401) 942-1444 - 1543 Smith St
North Providence, RI 02911
(401) 353-2010 - 295 S Main St
Providence, RI 02903
(401) 831-2015 - 600 Putnam Pike Ste 3
Greenville, RI 02828
(401) 949-7300 - 868 Reservoir Ave
Cranston, RI 02910
(401) 942-9933
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- ODTA-00511
- License State
- RI
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30483 | OTHER (01) | RI | NEIGHBORHOOD HEALTH PLAN |
| 0000029299 | OTHER (01) | RI | BLUE CROSS BLUE SHIELD |
| 24-62310 | OTHER (01) | UNITED HEALTHCARE | |
| 412343 | OTHER (01) | RI | BLUE CHIP |
| 7010622 | MEDICAID (05) | RI |
Medicare Participation & PECOS Enrollment Status
Theresa Colonna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02903 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.17
- Minimum New Patient Price $58.57
- Maximum New Patient Price $177.03
- Average New Patient Copayment $33.54
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.25
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.93
- Minimum Established Patient Price $18.92
- Maximum Established Patient Price $144.38
- Average Established Patient Copayment $18.23
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $36.09
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 2 | 8 | 3 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 2 | 16 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 2 + 1 + 6 + 3 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1124028378 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639179880 | DR. BARNEY R BURCHFIELD O.D. Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1235369349 | DR. JOHN T LEFFERS O.D. Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1861492001 | JOHN E. ORMANDO O.D. Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1477903490 | ALEXANDRA E SEXTON OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1245430800 | MRS. HOLLY JANE DWAN OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1831714377 | DR. NATHANIEL ROBERT SWEET OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1083098156 | STEPHANIE STURGIS OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1518318898 | JACOB HETTINGER O.D. Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1184355836 | ALEXANDRA M O'DONNELL OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1285686139 | CHAD MICHAEL WAGGONER OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1770276479 | HIMANDRI PATEL OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1780317701 | DR. JONATHAN BUMA OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1538266804 | WESTMINSTER EYECARE ASSOCIATES INC Organization | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1346802568 | DR. RICKIE KWONG CHIN JR. OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1538169784 | DR. SCOTT A COLONNA O.D. Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1699864470 | MS. LUCIA D'ANGELO OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
| 1811948193 | DR. ALERINO M IACOBBO OD Individual | Optometrist | 891 WESTMINSTER ST PROVIDENCE, RI 02903 (401) 331-7850 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124028378, enumerated in the NPI registry as an "individual" on July 29, 2005
The provider is located at 891 Westminster St Providence, Ri 02903 and the phone number is (401) 331-7850
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $134.17 with an average copayment of $33.54 for new patient appointments. Established patients should expect a typical charge of $72.93 and an average copayment of 18.23. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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