Mandalay Optical Labs, LLC
NPI 1396251740ActiveOrganization· Optometrist· Providence, RI
Optometrist in Providence, Rhode Island, registered in NPPES in December 2017. The authorized official on file is Scott A. Colonna, OD, Manager.
Overview
| NPI | 1396251740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2017 |
| Last updated in NPPES | Dec 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODTA00491 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Providence
- 1518973056
- 1922661685
- 1073959151
- 1053512236
- 1063141166
- 1316072143
- 1376054445
- 1225207038
- 1669650644
- 1619036589
- 1144845017
- 1538266804