PINECONE VISION THERAPY CENTER NPI 1700113180

NPI Information

  • NPI: 1700113180
  • Provider Name: PINECONE VISION THERAPY CENTER
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Former Legal Business Name: PINECONE LASER CENTER
  • CLIA Number: 24D2272754
  • Address: 2380 TROOP DR UNIT 201
    SARTELL, MN
    ZIP 56377
  • Phone: (320) 258-3915

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NPI Details

PINECONE VISION THERAPY CENTER is a vision therapy optometrist in Sartell, MN. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. PINECONE VISION THERAPY CENTER NPI is 1700113180. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pinecone Laser Center.

The provider's business location address is:

2380 TROOP DR UNIT 201
SARTELL, MN
ZIP 56377-637
Phone: (320) 258-3915
Fax: (320) 258-3917

The provider's authorized official is Nicholas Colatrella .
The authorized official title is Owner and has the following contact phone number (320) 258-3915.

The CLIA number assigned to this NPI record is 24D2272754 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 11/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy3067MINNESOTAYes

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This page was last updated on: 11/21/2025

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