| Dr Thomas Raphael Dibenedetto, OD | |
|
2 W Burnside Ave, Bronx, NY 10453-4004 | |
| (718) 280-1332 | |
| Not Available |
| Full Name | Dr Thomas Raphael Dibenedetto |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2 W Burnside Ave, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548885932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 009235 (New York) | Primary |
| Provider Name | Rs Eyes Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124590963 PECOS PAC ID: 4688085962 Enrollment ID: O20201117001286 |
| Provider Name | New York Optical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093408486 PECOS PAC ID: 3779920475 Enrollment ID: O20240318000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Raphael Dibenedetto, OD 2 W Burnside Ave, Bronx, NY 10453-4004 Ph: (718) 280-1332 | Dr Thomas Raphael Dibenedetto, OD 2 W Burnside Ave, Bronx, NY 10453-4004 Ph: (718) 280-1332 |
Ms. Deborah Esposito, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Holly Pl, Bronx, NY 10465 Phone: 917-217-6935 | |
Clear View Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 Burke Ave, Bronx, NY 10467 Phone: 718-547-1600 | |
Vision Quest Of Bruckner Corp. Optometrist Medicare: Medicare Enrolled Practice Location: 905 White Plains Rd, Bronx, NY 10473 Phone: 718-239-9389 | |
Creston Opticians Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2169 White Plains Rd, Bronx, NY 10462 Phone: 718-409-2200 | |
Pro Optics Corp Optometrist Medicare: Medicare Enrolled Practice Location: 2483 Grand Concourse, Bronx, NY 10468 Phone: 718-933-0187 | |
Fordham Vision Center Ny Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1 E Fordham Rd, Bronx, NY 10468 Phone: 718-733-6700 Fax: 718-733-2756 | |
Veronica Moore-stoll, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |