Richard Alfred Varricchio, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004617-1 Issued in NY

Practice address

296 Route 59
12
Tallman, NY 10982-0041

Phone

(845) 368-2202

Fax

(845) 368-2659

NPI assigned

Mar 15, 2007

Last updated

Jul 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lance Tristan Enterprises, Inc.

  dba Austin Ryan Optika

  • Optometrist
  • Airmont, NY
  • NPI 1851175137
  Medicare reassignment NPD
• Richard a Varricchio OD PC

  • Corneal and Contact Management Optometrist
  • Tallman, NY
  • NPI 1558614636
  Authorized official Same address or phone
• Austin Ryan Optical Corp.

  dba Austin Ryan Optika

  • Optometrist
  • New Paltz, NY
  • NPI 1538209622
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437177600000",
    "number": "1356475073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "TALLMAN",
            "state": "NY",
            "postal_code": "109820041",
            "telephone_number": "845-368-2202",
            "fax_number": "845-368-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 ROUTE 59",
            "address_2": "12",
            "city": "TALLMAN",
            "state": "NY",
            "postal_code": "109820041",
            "telephone_number": "845-368-2202",
            "fax_number": "845-368-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARRICCHIO",
        "first_name": "RICHARD",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004617-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1069410001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "90975",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY4617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "453",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Leah Linzenberg, LMSW, CASAC
• Nodirakhon Makhkamova
• Richard a Varricchio OD PC
• Caryn Rosen, RPH
• Yisroel M Teitelbaum, LCSW

• Optometrist in Tallman, NY
• Providers in Tallman, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.

Verify at the official NPI Registry.