Tedesco Optical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3424 Issued in NY

Legal business name

TEDESCO OPTICAL, INC.

Doing business as

Raphael Opticians

Practice address

337 Mamaroneck Ave
White Plains, NY 10605-1440

Phone

(914) 949-0575

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Raffaele Peter Tedesco, OPTICIAN

Title

President

Phone

(914) 949-0575

Specialties & licenses 1

Addresses

Other names 1

• Raphael Opticians Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1356488506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051440",
            "telephone_number": "914-949-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051440",
            "telephone_number": "914-949-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDESCO OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "RAFFAELE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-949-0575",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "3424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raphael Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Taslima, DPM
• Alekhya Tata, PT
• Jakub Tatka, M.D.
• Cheri Taylor
• Farinaz Tazeh, D.D.S.
• Larissa A. Tedesco, PA-C
• Vincent Tedesco, RPH
• Matthew Teich
• Madeline Marie Teixeira, MS, ED
• Monika Patrycja Tello, MS, APRN, ACHPN

• Durable Medical Equipment & Medical Supplies in White Plains, NY
• Providers in White Plains, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.