Pediatric Eyewear of Staten Island

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PEDIATRIC EYEWEAR OF STATEN ISLAND

Practice address

2504 Richmond Rd
Staten Island, NY 10306-2365

Phone

(718) 667-1010

Fax

(718) 667-9217

NPI assigned

Feb 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Derespinis

Title

Owner

Phone

(718) 667-1010

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Eyewear Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1073852539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062365",
            "telephone_number": "718-667-1010",
            "fax_number": "718-667-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062365",
            "telephone_number": "718-667-1010",
            "fax_number": "718-667-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EYEWEAR OF STATEN ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "DERESPINIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-667-1010"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gledi Peco, DPM
• Georgina Lolly Pecoraro, M.A., CCC-SLP
• John Henry Pecoraro Jr., SLP
• Pectus Services of Ny LLC
• Pediatric Care of New York P.C.
• Pediatric Occupational Therapy Associates
• Pediatrics of Richmomd County PLLC
• Isabella Marie Peduto
• Nicole Peduto, PA
• Jocelyn Peedikayil, NP

• Eyewear Supplier in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.