Provider Demographics
NPI:1356396386
Name:KOLIA, FIONA (OD)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:
Last Name:KOLIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-7707
Mailing Address - Country:US
Mailing Address - Phone:956-682-1655
Mailing Address - Fax:956-682-1644
Practice Address - Street 1:7400 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-7709
Practice Address - Country:US
Practice Address - Phone:956-682-1655
Practice Address - Fax:956-682-1644
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4589T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU12657Medicare UPIN