RALPH PLACE OPTICAL LLC (NPI# 1376095992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376095992 |
| Entity Type | Organization |
| Organization Name | RALPH PLACE OPTICAL LLC |
| Practice Address |
11 Ralph Pl Suite 101 Staten Island NY 10304-4401 |
| Mailing Address |
8 Ridgeway Dr Kings Point NY 11024-1435 |
| Practice Telephone | 7187202001 |
| Mailing Telephone | 7187202001 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | FARZAD FAKHERI (PRESIDENT) |
| Authorized Official Telephone | 7187202001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 191296 | NY | Allopathic & Osteopathic Physicians |
| Y | 152W00000X | Optometrist | TUV004573 | NY | Eye and Vision Services Providers |
| Street Address |
11 RALPH PL SUITE 101 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320638 | Hsien Kwang Liu | Specialist | 11 Ralph Pl, Suite 302, Staten Island, NY 10304-4419 | 2005-07-18 |
| 1265990097 | Natalia Maximovsky | Nurse Practitioner | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2019-03-11 |
| 1477926384 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 11 Ralph Pl, Suite 109, Staten Island, NY 10304-4401 | 2015-11-02 |
| 1376964452 | Juliana Tacardon | Registered Nurse | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2013-12-17 |
| 1487990941 | Renata Zink | Nurse Practitioner | 11 Ralph Pl, Suite 214, Staten Island, NY 10304-4401 | 2013-01-02 |
| 1275818668 | Sima Raguthu Md Pllc | Psychiatry & Neurology | 11 Ralph Pl, Staten Island, NY 10304-4401 | 2011-10-17 |
| 1568746014 | Luis G. Miranda, M.d., P.C. | Urology | 11 Ralph Pl, Suite 202, Staten Island, NY 10304-4401 | 2011-10-03 |
| 1396025920 | R Reddi Muttana Md PC | Ophthalmology | 11 Ralph Pl, Suite 317a, Staten Island, NY 10304-4401 | 2011-08-26 |
| 1720366453 | Advanced Allergy & Asthma Family Care Pllc | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4401 | 2011-07-29 |
| 1205127669 | Targee Street Internal Medicine Group | Family Medicine | 11 Ralph Pl, Suite 317b, Staten Island, NY 10304-4401 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1114544954 | Miriam Susan Korik | Optometrist | 107 Boylan St, Staten Island, NY 10312-1421 | 2020-06-27 |
| 1902457112 | Syeda Safura Hussaini | Optometrist | 337 Harold St, Staten Island, NY 10314-4146 | 2019-09-28 |
| 1629635990 | Ioptics Inc | Optometrist | 55 Richmond Ter Ste 350, Staten Island, NY 10301-1950 | 2019-05-22 |
| 1861962144 | Harkirat Singh Saini | Optometrist | 2655 Richmond Ave Ste 1140, Staten Island, NY 10314-5852 | 2018-11-29 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1922597814 | Ayah Ahamed | Optometrist | 86 Lyceum Ct, Staten Island, NY 10310 | 2018-05-07 |
| 1346795796 | Valentina Terentii | Optometrist | 4011 Hylan Blvd Ste A, Staten Island, NY 10308-3301 | 2016-08-15 |
| 1063726859 | Ching Man Tang | Optometrist | 2935 Veterans Rd W Ste D, Staten Island, NY 10309-2514 | 2010-08-04 |
| 1487890554 | Kenneth Horowitz Od | Optometrist | 927 Willowbrook Rd, Staten Island, NY 10314-4274 | 2008-12-19 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.