COLLAZO OPHTHALMOLOGY & OPTOMETRY
NPI 1780955575
Optometrist in Philadelphia, PA
About Collazo Ophthalmology & Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLAZO OPHTHALMOLOGY & OPTOMETRY (NPI 1780955575) is a healthcare organization registered as an optometrist in Philadelphia, Pennsylvania and active in the NPI registry since January 2012. The organization lists Rafael S Colazzo, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collazo Ophthalmology & Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Collazo Ophthalmology & Optometry, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Collazo Ophthalmology & Optometry's NPI number?
The NPI number for Collazo Ophthalmology & Optometry is 1780955575. It was assigned to this organization in the NPPES registry on January 25, 2012.
Where is Collazo Ophthalmology & Optometry located?
Collazo Ophthalmology & Optometry is located at 4231 N 5th St, Philadelphia, PA 19140. The listed phone number is (215) 455-1010.
What is Collazo Ophthalmology & Optometry's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Collazo Ophthalmology & Optometry enrolled in Medicare?
Yes. Collazo Ophthalmology & Optometry is registered in the Medicare PECOS enrollment system.
When is Collazo Ophthalmology & Optometry's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Collazo Ophthalmology & Optometry?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Collazo Ophthalmology & Optometry, in Ophthalmology, Optometry and Podiatry. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Collazo Ophthalmology & Optometry accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list Collazo Ophthalmology & Optometry 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 Collazo Ophthalmology & Optometry was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Collazo Ophthalmology & Optometry · NPI 1780955575
Optometrist organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since January 25, 2012.
## Identity
- **NPI:** 1780955575 (Entity type: Organization)
- **Enumerated:** January 25, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Rafael Colazzo, OPTOMETRIST
## Practice location
- **Address:** 4231 N 5TH ST, Philadelphia, PA 19140-2602
- **Phone:** (215) 455-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (1), Optometry (1), Podiatry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1780955575) · Data from the CMS NPPES public registry.