Individual
RICHARD J COLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
162 MOUNTAIN ROAD, SUFFIELD, CT 06078
(860) 668-5556
(860) 668-5556
Mailing address
162 MOUNTAIN ROAD, SUFFIELD, CT 06078
(860) 668-0266
(860) 668-5556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000736
CT
152WC0802X
Corneal and Contact Management Optometrist
000736
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000736
ST OF CT LICENSE NUMBER
CT
05
—
004023933
—
CT
01
—
060873489
TAX ID
CT
Enumeration date
10/16/2006
Last updated
07/10/2008
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