David Dalessandro OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

NJ5363 Issued in NJ

Legal business name

DAVID DALESSANDRO OD PA

Doing business as

Amazing Eyes

Practice address

1029 McBride Ave
Woodland Park, NJ 07424-2534

Phone

(973) 890-9044

Fax

(973) 890-9054

NPI assigned

Feb 14, 2007

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVID DALESSANDRO OD PAAs reported in NPPES

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

Authorized official

Name

David Dalessandro, ODNPI 1326092065

Title

Optometrist

Phone

(973) 890-9044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amazing Eyes Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

David Dalessandro OD PA

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Dalessandro, OD

  • Optometrist
  • Woodland Park, NJ
  • NPI 1326092065
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1760525513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MCBRIDE 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": "1029 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242534",
            "telephone_number": "973-890-9044",
            "fax_number": "973-890-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID DALESSANDRO OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID DALESSANDRO OD PA",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "DALESSANDRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-890-9044",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ5363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108219",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriella Cordero
• Angie Cortez, CSW
• Demetrius Dacres, EDD
• David Dalessandro, OD
• Ugne Damkauskaite
• Dejavu Aesthetic and Medical Center
• Dentmax LLC
• Dena Desantis, LCSW
• James J Desantis, LCSW
• Mali Desantis, MA, CCC-SLP

• Optometrist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Optometrist in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.