Pinecone Vision Center, PA
NPI 1790830701ActiveOrganization· Optometrist· Sartell, MN
Optometrist in Sartell, Minnesota, registered in NPPES in January 2007. The authorized official on file is Nicholas Colatrella, O.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790830701 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2007 |
| Last updated in NPPES | Jun 28, 2022 |
| Certified by provider | Jun 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2617 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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