DR. THERESA J COLONNA (O.D.) – Optometrist, NPI 1124028378

DR. THERESA J COLONNA (O.D.) is a healthcare provider. based in Cranston, Rhode Island. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODTA-00511 (RI). The NPI Number for DR. THERESA J COLONNA (O.D.) is 1124028378

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. THERESA J COLONNA (O.D.)
NPI
1124028378
Phone
(401) 942-9933
Address
868 Reservoir Ave
Enumeration Date
29 July 2005
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
4016882301
Graduation Year
2002 (24 years ago)
PAC ID
0941271365
Group Practice PAC ID
6305804907
Professional Enrollment ID
I20040929000007
Address ID
RI029034020PR891XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

225 OPTOMETRY in RI

Provider Addresses for DR. THERESA J COLONNA (O.D.)

  • 868 Reservoir Ave

    Cranston, RI 029104414

    Phone: (401) 942-9933

    Type: Location

  • 319 Pocasset Ave

    Providence, RI 029094800

    Phone: (401) 942-1444

    Type: Location

  • 1543 Smith St

    North Providence, RI 029112943

    Phone: (401) 353-2010

    Type: Location

  • 891, Westminster Street, Olneyville, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034020

    Phone: (401) 331-7850

    Fax: (401) 274-4739

    Type: Mailing

  • 295 S Main St

    Providence, RI 029032910

    Phone: (401) 831-2015

    Type: Location

  • 600 Putnam Pike Ste 3

    Greenville, RI 028281487

    Phone: (401) 949-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Alcon Vision LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040929000007IOptometryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02910)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305804907View full group profile
NameSpecialtyState
O P T O M E T R YRI
O P T O M E T R YMA
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YRI
O P T O M E T R YRI
-RI

Reviews

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Frequently asked questions

Can I verify DR. THERESA J COLONNA (O.D.) with an NPI only?
You can start verification with NPI 1124028378 for DR. THERESA J COLONNA (O.D.), then check state licensing separately.
Can I rely on DR. THERESA J COLONNA (O.D.) being an active provider?
As of the registry snapshot, DR. THERESA J COLONNA (O.D.) is marked active.
What healthcare role does DR. THERESA J COLONNA (O.D.) hold?
Scheduling teams often label DR. THERESA J COLONNA (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. THERESA J COLONNA (O.D.) list a practice location?
Patients near Cranston, Rhode Island may find DR. THERESA J COLONNA (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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