Felicia Mateo I, OPTICIAN

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

008360-1 Issued in NY

Practice address

2524 Radcliff Ave
Bronx, NY 10469-4206

Phone

(347) 874-9876

NPI assigned

May 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Felicia Mateo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1861838575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694206",
            "telephone_number": "347-874-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 RADCLIFF AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104694206",
            "telephone_number": "347-874-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "FELICIA",
        "name_prefix": "Prof.",
        "name_suffix": "I",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "NY",
            "license": "008360-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "MATEO",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adila Afzal Matcheswala, MD
• Dolores Mateo, TEACHER
• Dysiris Mateo, OTR
• Edelin C Mateo
• Esther Mateo, OTR/L
• Frankely Mateo
• Jose O. Mateo
• Mark Mateo
• Pasquale Matera
• Grace Materne

• Ophthalmic Technician/Technologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Ophthalmic Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.