Organization
RICHARD A VARRICCHIO OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A VARRICCHIO O.D. (PRESIDENT)
(845) 368-2202
Entity
Organization
Contact information
Practice address
296 ROUTE 59, 12, TALLMAN, NY 10982-0041
(845) 368-2202
(845) 368-2659
Mailing address
PO BOX 41, TALLMAN, NY 10982-0041
(845) 368-2202
(845) 368-2659
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TUV004617-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069410001
DMERC
NY
01
—
453
DAVIS VISION
NY
01
—
90975
AETNA
NY
01
—
NY4617
EYEMED
—
Enumeration date
10/26/2012
Last updated
07/18/2015
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