Active NPIIndividual providerSole proprietor

Tyler D'Agostino

Optometrist in Wyckoff, New Jersey

NPI Number1881379568
Practice location
350 Franklin Ave, Wyckoff, NJ 07481-1909
Fax
—
Last updated
October 22, 2024

Tyler D'Agostino is an Optometrist based in Wyckoff, NJ. Tyler D'Agostino practices in Wyckoff, NJ. The NPI Number for Tyler D'Agostino is 1881379568 and holds a License No. 009900 (NY). The current practice location address for Tyler D'Agostino is 350 Franklin Ave, Wyckoff, NJ 07481-1909 and can be reached out via phone at 718-836-6600.

Provider Profile Details

NPI Number
1881379568
Provider Name
Tyler D'Agostino
Provider Entity Type
Individual
Gender
Male
Address
350 Franklin Ave, Wyckoff, NJ 07481-1909
Phone Number
718-836-6600
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 20, 2023
Last Update Date
October 22, 2024
Certification Date
October 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Franklin Ave
Wyckoff, NJ 07481-1909
Zip
07481-1909
Phone Number
718-836-6600
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
350 Franklin Ave
Wyckoff, NJ 07481-1909
City
Wyckoff
State
NJ
Zip
07481-1909

License Information

License Number (1)
009900
License State (1)
NY
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
27OA00727200
License State (2)
NJ
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler D'Agostino?

The NPI number of Tyler D'Agostino is 1881379568. It was assigned on June 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Tyler D'Agostino?

Tyler D'Agostino is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number 009900.

Where does Tyler D'Agostino practice?

The practice location is 350 Franklin Ave, Wyckoff, NJ 07481-1909. The office can be reached at 718-836-6600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881379568 directly on the NPPES registry website.

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