Michael Colucciello (NPI# 1215934146, PAC ID# 2264400555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1215934146 |
| PAC ID by PECOS | 2264400555 |
| Professional Enrollment ID | I20100729000776 |
| Full Name | Michael Colucciello |
| Organization Legal Name | VANTAGE EYECARE, LLC |
| Address |
25 Homestead Dr Columbus NJ 08022-1005 |
| Phone Number | 6092980888 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5991062408 |
| Number of Group Practice Members | 109 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 25 Homestead Dr, Columbus, NJ 08022-1005 | 6092980888 | VANTAGE EYECARE, LLC |
| 925 Route 73 N C, Corneal Associates PC, Marlton, NJ 08053-1277 | 2159283180 | VANTAGE EYECARE, LLC |
| 103 Old Marlton Pike, Medford, NJ 08055-8772 | 6097148761 | VANTAGE EYECARE, LLC |
| 1500 Tilton Rd, Northfield, NJ 08225-1827 | 4844342700 | VANTAGE EYECARE, LLC |
| Organization Legal Name | VANTAGE EYECARE, LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Petsch | Optometry | Vantage Eyecare, LLC | 9701 Ventnor Ave, Margate City, NJ 08402-2222 |
| John Patrick Mclaughlin | Ophthalmology | Vantage Eyecare, LLC | 4 Village Dr, Cape May Court House, NJ 08210-1939 |
| Iga Natalia Gray | Ophthalmology | Vantage Eyecare, LLC | 2610 E Allegheny Ave, Philadelphia Eye Associates, Philadelphia, PA 19134-5104 |
| Victoria Rose Ries | Optometry | Vantage Eyecare, LLC | 360 Middletown Blvd, Langhorne, PA 19047-1863 |
| Ines M Casado Strine | Optometry | Vantage Eyecare, LLC | 319 W State St, Ophthalmic Partners of Pa Nj, Media, PA 19063-2615 |
| Daniel P. Putnam | Ophthalmology | Vantage Eyecare, LLC | 925 Route 73 N C, Corneal Associates PC, Marlton, NJ 08053-1277 |
| Richard B Prince | Ophthalmology | Vantage Eyecare, LLC | 352 E Butler Ave, Tri County Eye Physicians and Surgeon, New Britain, PA 18901-5209 |
| Stephen Y. Lee | Ophthalmology | Vantage Eyecare, LLC | 775 E Route 70 F180, Ophthalmic Partners of Pa Nj, Marlton, NJ 08053-2367 |
| Christopher J Kuc | Optometry | Vantage Eyecare, LLC | 740 W Lincoln Hwy, Chester County Eye Care, Exton, PA 19341-2547 |
| Brenton David Finklea | Ophthalmology | Vantage Eyecare, LLC | 840 Walnut St, Suite 920 Ophthalmic Partners of Pa Nj, Philadelphia, PA 19107-5109 |
| Street Address |
25 HOMESTEAD DR |
| City | COLUMBUS |
| State | NJ |
| Zip | 08022-1005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam R Brown | Ophthalmology | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Amy R. Wexler | Ophthalmology | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Trong D Tran | Ophthalmology | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Candice B Tolud | Optometry | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Sander M Cohen | Ophthalmology | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Philip Horowitz | Ophthalmology | Vantage Eyecare, LLC | 25 Homestead Dr, Columbus, NJ 08022-1005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Ikeda | Chiropractic | 23659 Columbia Rd, 2a, Columbus, NJ 08022 | |
| Ashley K Hammer | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Francine M Siegel | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| David S Hulbert | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Paul L Schell | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Dolores C Fee | Nurse Practitioner | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Michael I Zalkin | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Michael T Snyder | Obstetrics/gynecology | Advocare LLC | 45 Homestead Dr, Suite 216b, Columbus, NJ 08022-1004 |
| Nicholas A Puccio | Chiropractic | 23206 Columbus Rd, Suite A, Columbus, NJ 08022-1904 | |
| Davonnie Marie Dunn | Family Medicine | Columbus Family Physicians, LLC | 23659 Columbus Rd, Suite 4, Columbus, NJ 08022-1979 |
| Find all physicians in zip 08022 | |||
| City | COLUMBUS |
| Zip Code | 08022 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | COLUMBUS + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.