Richard a Varricchio OD PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV004617-1 Issued in NY

Legal business name

RICHARD A VARRICCHIO OD PC

Practice address

296 Route 59
12
Tallman, NY 10982-0041

Phone

(845) 368-2202

Fax

(845) 368-2659

NPI assigned

Oct 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard A Varricchio, O.D.

Title

President

Phone

(845) 368-2202

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1558614636",
    "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": {
        "organization_name": "RICHARD A VARRICCHIO OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "VARRICCHIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-368-2202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV004617-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1069410001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY4617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "453",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "90975",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Kaplan Falkow, CLIPP
• Leon Greenbaum, RPH
• Gary Langstein, RPH
• Miriam Leah Linzenberg, LMSW, CASAC
• Nodirakhon Makhkamova
• Caryn Rosen, RPH
• Yisroel M Teitelbaum, LCSW
• Richard Alfred Varricchio, O.D.

• Corneal and Contact Management Optometrist in Tallman, NY
• Providers in Tallman, NY by specialty
• Corneal and Contact Management 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.