RAPHAEL OPTICAL INC. (NPI# 1619500964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619500964 |
| Entity Type | Organization |
| Organization Name | RAPHAEL OPTICAL INC. |
| Practice Address |
303 Wyckoff Ave Brooklyn NY 11237-5805 |
| Practice Telephone | 7184562752 |
| Practice Fax Number | 7184562753 |
| Mailing Telephone | 7184562752 |
| Mailing Fax Number | 7184562753 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | MR. JACOB DAVIDOV (PRESIDENT/MANAGER) |
| Authorized Official Telephone | 7184562752 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01463758 | 05 |
| Street Address |
303 WYCKOFF AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-5805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1992298558 | Lior Shemtovov | Technician/Technologist | 7217 3rd Ave, Brooklyn, NY 11209-2132 | 2018-06-08 |
| 1447751714 | Moses Nawlo | Technician/Technologist | 2080 E 9th St, Brooklyn, NY 11223-4101 | 2018-02-22 |
| 1730605585 | A&s Liberty Inc | Technician/Technologist | 1208 Liberty Ave, Brooklyn, NY 11208-3412 | 2017-08-14 |
| 1437698644 | Pso Ny Inc | Technician/Technologist | 933 Flatbush Ave, Brooklyn, NY 11226-4017 | 2017-02-21 |
| 1538606900 | Glasses Are Us | Technician/Technologist | 1010 Avenue L, Brooklyn, NY 11230-4710 | 2017-01-24 |
| 1467996439 | Aboubacar Sangare | Technician/Technologist | 1108 Rutland Rd, Brooklyn, NY 11212-3646 | 2016-12-11 |
| 1194185900 | Fabulous Optical Inc | Technician/Technologist | 546 Nostrand Ave, Brooklyn, NY 11216-2013 | 2016-03-07 |
| 1396114542 | Shifra Astolin | Technician/Technologist | 803 Nostrand Ave, Brooklyn, NY 11225-1584 | 2015-09-17 |
| Find all providers in BROOKLYN | ||||
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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.