Individual
DR. SCOTT A COLONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 274-4739
Mailing address
891 WESTMINSTER ST, PROVIDENCE, RI 02903-4020
(401) 331-7850
(401) 274-4739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA-00491
RI
152WP0200X
Pediatric Optometrist
ODTA-00491
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025743
BLUE CROSS BLUE SHIELD
RI
01
—
030510109
VISION SERVICE PLAN
—
01
—
22-00960
UNITED HEALTH CARE
—
01
—
27925
NEIGHBORHOOD HEALTH PLAN
RI
01
—
3314220
AETNA INSURANCE
—
01
—
409736
BLUE CHIP RI
RI
01
—
419082077
MEDICARE OTHER
RI
01
—
4866944001
CIGNA INSURANCE
—
01
—
580001245
RAILROAD/METRA HEALTH
—
01
—
814844
MASHANTUCKET PEQUOT TRIBE
—
05
—
9022661
—
RI
Enumeration date
07/29/2005
Last updated
05/06/2025
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