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

Q: 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.

Q: What is Theresa Colonna's specialty?

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

Q: 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 15 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.

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: August 02, 2026.

On this page

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 1600 Putnam Pike Ste 3Greenville, RI 02828-1487 · Phone (401) 949-7300

Location 2295 S Main StProvidence, RI 02903-2910 · Phone (401) 831-2015

Location 31543 Smith StNorth Providence, RI 02911-2943 · Phone (401) 353-2010

Location 4319 Pocasset AveProvidence, RI 02909-4800 · Phone (401) 942-1444

Location 5868 Reservoir AveCranston, RI 02910-4414 · Phone (401) 942-9933

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 Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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