# PINECONE VISION THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINECONE VISION CENTER
- **Other names:** Pinecone Laser Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700113180
- **Legal business name:** PINECONE VISION CENTER
- **Authorized official:** DR. NICHOLAS COLATRELLA OD (OWNER)
- **Authorized official phone:** (320) 258-3915

## Contact information

- **Practice address:** 2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
- **Practice address phone:** (320) 258-3915
- **Practice address fax:** (320) 258-3917
- **Mailing address:** 2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
- **Mailing address phone:** (320) 258-3915
- **Mailing address fax:** (320) 258-3917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | 3067 | MN | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 11/05/2009