RICHARD A VARRICCHIO OD PC (NPI# 1558614636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558614636 |
| Entity Type | Organization |
| Organization Name | RICHARD A VARRICCHIO OD PC |
| Practice Address |
296 Route 59 12 Tallman NY 10982-0041 |
| Mailing Address |
Po Box 41 Tallman NY 10982-0041 |
| Practice Telephone | 8453682202 |
| Practice Fax Number | 8453682659 |
| Mailing Telephone | 8453682202 |
| Mailing Fax Number | 8453682659 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | DR. RICHARD A VARRICCHIO (PRESIDENT) |
| Authorized Official Telephone | 8453682202 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
TUV004617-1 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DMERC | 1069410001 | 01 |
| NY | DAVIS VISION | 453 | 01 |
| NY | AETNA | 90975 | 01 |
| EYEMED | NY4617 | 01 |
| Street Address |
296 ROUTE 59 12 |
| City | TALLMAN |
| State | NY |
| Zip Code | 10982-0041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730266875 | Diabetic & Prescription Center Inc | Durable Medical Equipment & Medical Supplies | 296 Route 59, Tallman, NY 10982-8102 | 2006-11-01 |
| 1568007904 | Diabetic & Prescription Center Inc | Pharmacy | 296 Route 59, Tallman, NY 10982-8102 | 2019-11-08 |
| 1891026977 | Leon Greenbaum | Pharmacist | 296 Route 59, Tallman, NY 10982 | 2010-01-29 |
| 1457583361 | Gary Langstein | Pharmacist | 296 Route 59, Tallman, NY 10982-8102 | 2009-08-12 |
| 1356475073 | Richard Alfred Varricchio | Optometrist | 296 Route 59, 12, Tallman, NY 10982-0041 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215495833 | Deborah Kaplan Falkow | Contractor | 300 Route 59 Suite 1, Tallman, NY 10982 | 2019-03-04 |
| 1083930184 | Miriam Leah Linzenberg | Social Worker | 273 Cherry Lane, Tallman, NY 10982 | 2010-04-14 |
| 1487976312 | Caryn Rosen | Pharmacist | 296 Rt 59, Tallman, NY 10982 | 2010-02-19 |
| 1528411915 | Michelle Marie Boyd | Registered Nurse | 9 Highview Ave, #614, Tallman, NY 10982 | 2016-07-20 |
| 1144550153 | Bc Kare | Private Vehicle | 221 Cherry Lane, Tallman, NY 10982-0233 | 2010-01-14 |
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127304 | Visionary Optometry, Pllc | Optometrist | 21814 Jamaica Ave, Queens Village, NY 11428-2100 | 2019-04-26 |
| 1366933707 | Metropolitan Vision Optometry Downtown Pllc. | Optometrist | 60 Saint James Pl, New York, NY 10038-1209 | 2018-05-22 |
| 1194226886 | Esad Optical, Inc | Optometrist | 6332 Northern Blvd, East Norwich, NY 11732-1600 | 2018-02-27 |
| 1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
| 1366858045 | Jacqueline Chang | Optometrist | 159 Court St, Brooklyn, NY 11201-4343 | 2014-07-02 |
| 1437427986 | Lita Huh | Optometrist | 14218 38th Ave Ste Cfa, Flushing, NY 11354-5554 | 2011-12-12 |
| 1750667929 | Katherine Gut | Optometrist | 114 Java St, Brooklyn, NY 11222-1644 | 2011-11-01 |
| 1144544081 | Antoine Copty Od PC | Optometrist | 2116 35th St, 1g, Astoria, NY 11105-2147 | 2010-03-22 |
| 1750523528 | Jennifer Veronica Thomas | Optometrist | 2266 Arby Ct, Wantagh, NY 11793-3852 | 2009-03-25 |
| 1992976799 | Michael Feldman | Optometrist | 469a Sunrise Hwy, Lynbrook, NY 11563-3017 | 2008-03-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.