Active NPI
David Dalessandro, OD
- Optometrist
- Woodland Park, NJ
National Provider Identifier
1326092065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00536300
- Practice address
- Amazing Eyes
1029 MC Bride Ave
Woodland Park, NJ 07424-2534 - Phone
- (973) 890-9044
- Fax
- (973) 890-9054
- NPI assigned
- May 19, 2006
- Last updated
- Jun 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00536300 | NJ | Primary |
Addresses
Primary practice location
Amazing Eyes
1029 MC Bride Ave
Woodland Park, NJ 07424-2534
Mailing address
1029 MC Bride Ave
Woodland Park, NJ 07424-2534
Phone (973) 890-9044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108219 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1029 McBride Ave
Woodland Park, NJ 07424-2534
Phone (973) 890-9044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1326092065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 MC BRIDE AVE",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242534",
"telephone_number": "973-890-9044",
"fax_number": "973-890-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AMAZING EYES",
"address_2": "1029 MC BRIDE AVE",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242534",
"telephone_number": "973-890-9044",
"fax_number": "973-890-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALESSANDRO",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00536300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108219",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.