NPIMap

Organization Active NPI

Teleoptometric Service, P.C.

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1891356648
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TELEOPTOMETRIC SERVICE, P.C.
Practice address
392 Talbert Rd
Mooresville, NC 28117
Phone
(980) 447-9764
Fax
(980) 447-9765
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Darlene Cettina
Title
Cfo
Phone
(516) 243-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

392 Talbert Rd
Mooresville, NC 28117

Mailing address

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002
Phone (516) 243-8712

National Provider Directory

National Provider Directory
Tax ID family
Teleoptometric Service PC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1891356648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE STE 206",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002",
            "telephone_number": "516-243-8712",
            "fax_number": "516-243-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 TALBERT RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "980-447-9764",
            "fax_number": "980-447-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEOPTOMETRIC SERVICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CETTINA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-243-8712"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.