Teleoptometric Service NJ, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TELEOPTOMETRIC SERVICE NJ, PC

Practice address

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002

Phone

(516) 243-8708

Fax

(516) 243-8724

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Laura Basile

Title

Manager

Phone

(516) 243-8708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1164045605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002",
            "telephone_number": "516-243-8708",
            "fax_number": "516-243-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002",
            "telephone_number": "516-243-8708",
            "fax_number": "516-243-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOPTOMETRIC SERVICE NJ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BASILE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-243-8708"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Taylor, MD
• Sewit Teckie, M.D.
• Michelle Teitelbaum, NP
• Margaret Tejani, M.D.
• Ruchi Tejwani, MD
• Teleoptometric Service, PC
• Temana Associates Inc.
• Chris Tempesta
• Tendercare NP House Calls, LLC
• Katerina Tenzer

• Optometrist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.