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DR. THERESA J COLONNA O.D.
NPI 1124028378
Optometrist in Providence, RI

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
891 WESTMINSTER ST, PROVIDENCE, RI 02903(401) 331-7850(401) 274-4739 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theresa J Colonna O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA J COLONNA O.D. (NPI 1124028378) is an individual optometrist in Providence, Rhode Island, licensed in Rhode Island (ODTA-00511) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Alabama Birmingham - School Of Optometry (2002).

NPPES Registry Identity

NPI1124028378
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. THERESA J COLONNACredential: O.D.
Location Address891 WESTMINSTER STProvidence, RI 02903-4020
Mailing Address891 Westminster StProvidence, RI 02903-4020 · (401) 331-7850 · Fax (401) 274-4739
Phone(401) 331-7850
Fax(401) 274-4739
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2002
Enumeration DateJuly 29, 2005
Last NPPES UpdateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1124028378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in RI · ODTA-00511
Definition
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.
891 WESTMINSTER ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1868 Reservoir AveCranston, RI 02910-4414 · Phone (401) 942-9933
Location 2319 Pocasset AveProvidence, RI 02909-4800 · Phone (401) 942-1444
Location 31543 Smith StNorth Providence, RI 02911-2943 · Phone (401) 353-2010
Location 4295 S Main StProvidence, RI 02903-2910 · Phone (401) 831-2015
Location 5600 Putnam Pike Ste 3Greenville, RI 02828-1487 · Phone (401) 949-7300

Other Identifiers 5

Other30483RI · Neighborhood Health Plan
Other0000029299RI · Blue Cross Blue Shield
Other24-62310United Healthcare
Other412343RI · Blue Chip
Medicaid7010622RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa J Colonna O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941271365
PECOS Enrollment IDI20040929000007
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Theresa Colonna reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westminster Eyecare Associates Inc
Same address
Optometrist
891 WESTMINSTER ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 13 clinicians in this Medicare group
NPI 1538266804 (401) 331-7850
College Hill Eye And Optical Inc.
1.0 mi
Optometrist
295 S MAIN ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 8 clinicians in this Medicare group
NPI 1922661685 (401) 831-2015
Smithfield Eye & Optical LLC
7.9 mi
Optometrist
600 PUTNAM PIKE STE 3
Greenville, RI 02828
  • Reassigned Medicare billing, Rhode Island enrollment
  • 9 clinicians in this Medicare group
NPI 1073116240 (401) 949-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE STURGIS OD
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
ALEXANDRA M O'DONNELL OD
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
DR. JOHN T LEFFERS O.D.
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
CHAD MICHAEL WAGGONER OD
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
DR. RICKIE KWONG CHIN JR. OD
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
ALEXANDRA E SEXTON OD
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
JACOB HETTINGER O.D.
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850
DR. SCOTT A COLONNA O.D.
Optometrist
891 WESTMINSTER ST
PROVIDENCE, RI 02903
Providence County (401) 331-7850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Colonna's NPI number?

The NPI number for Theresa Colonna is 1124028378. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Theresa Colonna located?

Theresa Colonna practices at 891 Westminster St, Providence, RI 02903. The listed phone number is (401) 331-7850.

What is Theresa Colonna's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Theresa Colonna enrolled in Medicare?

Yes. Theresa Colonna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theresa Colonna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Colonna reassigns Medicare benefits to 3 organizations: Westminster Eyecare Associates Inc (Providence, RI), College Hill Eye And Optical Inc. (Providence, RI) and Smithfield Eye & Optical LLC (Greenville, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Colonna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Colonna accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Theresa Colonna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa Colonna was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.