Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW COLONNA, OD
ActiveDR. MATTHEW COLONNA, OD is a Optometrist healthcare provider located in PORTLAND, Tennessee. NPI 1588216006 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORTLAND, TN
Registration Details
- NPI Number
- 1588216006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2019 (7.0670380279633 yrs)
- Last Updated
- Jun 20, 2022
- License
-
OD0000003532 (TN)
Practice Information
- Address
-
802 S BROADWAY STPORTLAND, TN, 371481622Browse TN providers · Browse ZIP 37148
- Phone
- 6153237331
- Fax
- 6153237332
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PORTLAND, TN
| Name | Credential | NPI |
|---|---|---|
| DONALD W BLOCKER | O.D. | 1396798013 |
| DR. JUSTIN TYLER REID | OD | 1508597469 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.