Ralph Place Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004573 Issued in NY

Legal business name

RALPH PLACE OPTICAL LLC

Practice address

11 Ralph PL
Suite 101
Staten Island, NY 10304-4401

Phone

(718) 720-2001

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Farzad Fakheri, MDNPI 1144281197

Title

President

Phone

(718) 720-2001

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Farzad Fakheri, MD

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1144281197
  NPD (past) Authorized official

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1376095992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RIDGEWAY DR",
            "city": "KINGS POINT",
            "state": "NY",
            "postal_code": "110241435",
            "telephone_number": "718-720-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 101",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-720-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH PLACE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "FAKHERI",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-720-2001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004573",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "191296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aakash Rajwani
• Magdalena Rakvin, PA-C
• Celina Rallon, OTR/L
• Maximiano Rallon, PTA
• Ralph K. Messo Jr., D.O., P.C.
• Ralph Place Pharmacy Inc
• Ralph Place Pharmacy Inc.
• Sivaswamy Ramachandran
• Raghunath Ramanarasimhaiah, MD
• Subrahmanian Ramanathan, MD

• Optometrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.