DR. LAILA COLICCHIO (NPI# 1366423287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423287 |
| Entity Type | Individual |
| Full Name | DR. LAILA COLICCHIO |
| Credential | O.D. |
| Practice Address |
104 Market St Perth Amboy NJ 08861-4412 |
| Practice Telephone | 7328265159 |
| Practice Fax Number | 7328262107 |
| Mailing Telephone | 7328265159 |
| Mailing Fax Number | 7328262107 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | TO000703 | NJ | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OA005384 | NJ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8972800 | 05 |
| Street Address |
104 MARKET ST |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952382871 | Santamaria Eye Center P A | Ophthalmology | 104 Market St, Perth Amboy, NJ 08861-4412 | 2005-11-08 |
| 1467962241 | Precision Eye Physicians & Surgeons | Optometrist | 104 Market St, Perth Amboy, NJ 08861 | 2017-10-05 |
| 1376645325 | Thomas Kincade | Specialist | 104 Market St, Perth Amboy, NJ 08861-4412 | 2006-09-01 |
| 1326058587 | Frank Parisi | Ophthalmology | 104 Market St, Perth Amboy, NJ 08861-4412 | 2006-08-09 |
| 1104807015 | Jaime Santamaria II | Ophthalmology | 104 Market St, Perth Amboy, NJ 08861-4412 | 2005-11-08 |
| 1992786800 | Kenneth N Darvin | Ophthalmology | 104 Market St, Perth Amboy, NJ 08861-4412 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639265150 | Kevin D Geiger | Optometrist | 94 Smith St, Perth Amboy, NJ 08861-4414 | 2006-10-04 |
| 1467962241 | Precision Eye Physicians & Surgeons | Optometrist | 104 Market St, Perth Amboy, NJ 08861 | 2017-10-05 |
| 1407980402 | Dr. Kevin D. Geiger and Associates, P.a. | Optometrist | 94 Smith St, Perth Amboy, NJ 08861-4414 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316549 | Refocus Eye Health of Nj, P.C. | Optometrist | 3 Cooper Plz Rm 510, Camden, NJ 08103-1438 | 2020-11-02 |
| 1285231597 | Megan Mcdonald | Optometrist | 1933 Hwy 35, Wall Township, NJ 07719-3502 | 2020-10-08 |
| 1265039259 | Urvi Patel | Optometrist | 55 Westwood Ave, Westwood, NJ 07675-1713 | 2020-10-03 |
| 1679180855 | Your Eyes and You LLC | Optometrist | 386 Totowa Rd Ste B, Totowa, NJ 07512-2059 | 2020-09-30 |
| 1801408422 | Christian Efrain Crespo | Optometrist | 400 Perrine Rd Ste 400b, Old Bridge, NJ 08857-2811 | 2020-08-17 |
| 1841801487 | Stephanie Marie Cathell | Optometrist | 2401 Route 22 W Ste P, Union, NJ 07083-8519 | 2020-08-16 |
| 1356952105 | Felix Lee | Optometrist | 7500 Bergenline Ave Fl 2, North Bergen, NJ 07047-5401 | 2020-08-14 |
| 1720606270 | Sabahat B Amjad | Optometrist | 565 New Brunswick Ave Ste 201, Fords, NJ 08863-2162 | 2020-07-10 |
| 1952929903 | Eun Sang Lee | Optometrist | 300 Route 202 Ste 4, Raritan, NJ 08869-1352 | 2020-07-07 |
| 1467079897 | Jersey Eye Associates LLC | Optometrist | 462 White Horse Pike, Atco, NJ 08004-2442 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.